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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001017 <br />L. G. Everist, Incorporated <br />000000000 <br />186356 jwd 4300 -01 1 Minerals Annual Fees <br />M- 2001 -017 <br />Receipt #: <br />Date: <br />Permit: <br />16033 <br />09/24/2013 <br />M2001017 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />