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Tracy and Ed Grimes <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009077 <br />Receipt #: <br />Date: <br />Permit: <br />1194 jwd 14300-01 1 Minerals Annual Fees <br />M- 2009 -077, Paid By Grimes Quality Flooring, LLC <br />16212 <br />10/17/2013 <br />M2009077 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />