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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004008 <br />Joseph Curtis Harden <br />000000000 <br />5764 jwd 14300-01 1 Minerals Annual Fees <br />M- 2004 -008, Paid By J Curt Harden <br />Receipt #: <br />Date: <br />Permit: <br />16245 <br />10/23/2013 <br />M2004008 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />Page 1 of 1 <br />