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COAG Corporation <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2007069 <br />1460 kja 14400 1 Mineral Copies <br />Receipt #: <br />Date: <br />Permit <br />P2007 -069 DVD for and pd by Matt Collins Authorized by Mickey <br />Fouts <br />16514 <br />12/12/2013 <br />P2007069 <br />$20.00 <br />Receipt Total: $20.00 <br />Page 1 of 1 <br />