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Gregory Larson <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007012 <br />111111111 <br />Receipt #: 20211 <br />Date: 09/09/2015 <br />Permit: M2007012 <br />Payment Method,, <br />&Revenue Code <br />Fee Description/Notes <br />Amount <br />Minerals Annual Fees <br />M2007-012 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />