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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981165 <br />Neglected Mine <br />Receipt #: <br />lsas <br />10/05/2007 <br />Date: <br />Permit: <br />000000000 <br />M1981165 <br />2480 14300-01 I Minerals Annual Fees I $259.00 <br />M1981-165 <br />Receipt Total: ~ $259.00 <br />Page 1 of 1 <br />