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Jack Pine Mining Company <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990147 <br />5393 msr 14300-01 1 Minerals Annual Fees <br />M1990 -147 <br />Receipt #: <br />Date: <br />Permit: <br />16803 <br />02/05/2014 <br />M1990147 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />_ -I <br />Page 1 of 1 <br />