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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007012 <br />oe <br />Gregory Larson <br />000000000 <br />6137 kja 4300 -01 1 Minerals Annual Fees <br />Receipt #: <br />16140 <br />Date: <br />10/08/2013 <br />Permit: <br />M2007012 <br />m2007012 kja no map received spoke to Greg Larson <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />