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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Patricia Madsen <br />Receipt #: <br />1052 <br />07/1812007 <br />Date: <br />Permit: Minerals <br />000000000 <br /> <br />Cash 4400 Mineral Copies <br />M-1983-011 $5.00 <br />Receipt Total: ~ $5.00 <br />Page 1 of 1 <br />