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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002003 <br /> Glacier Peak Art, Gems & Minerals Receipt#: 21177 <br /> Date: 03/25/2016 <br /> Permit: M2002003 <br /> 000000000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> 8769 SDT 4300-MAFO Minerals Annual Fees $259.00 <br /> M2002-003 - Paid By: Pinnacle 5 Minerals, LLC <br /> Receipt Total: $259.00 <br /> Page 1 of 1 <br />