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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2012013 <br />Smithburg Family Partnership, LLLP <br />1531 14300-01 1 Minerals Annual Fees <br />M- 2012 -013, CMB <br />Receipt #: <br />Date: <br />Permit <br />15844 <br />08/23/2013 <br />M2012013 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />