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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: <br />Date: <br />Permit: <br />1076 <br />07/23/2007 <br />Olga or Daniel P. Giroux <br />000000000 <br />Minerals <br /> X13 Ca='t , a.~ a r~Y~3 L~IAl~-7 ,' - Ca~'7Gf3 <br />8781 4400 Mineral Copies <br />M-1981-007 M1966-050 rY1- iq 9 S- O 3 ~ $5.00 <br /> <br />Receipt Total: ~ $5.00 <br />Page 1 of 1 <br />