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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987088 <br />Ted R Hubbs Family Trust <br />Barbara Hubbs <br />Receipt #: <br />Date: <br />Permit: <br />1256 <br />08/17/2007 <br />M1987088 <br />000000000 <br />1232 14300-01 I Minerals Annual Fees <br />M-1987-088, Balance Due <br />$103.00 <br />Receipt Total: ~ $103.00 <br />Page 1 of 1 <br />