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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984013 <br />George E. Otten <br />000000000 <br />1859 jwd 4300 -01 1 Minerals Annual Fees <br />M- 1984 -013 <br />Receipt #: <br />Date: <br />Permit: <br />15861 <br />08/26/2013 <br />M1984013 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />Page 1 of 1 <br />