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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004053 <br />Rivera's Excavation <br />000000000 <br />Receipt #: 2112 <br />Date: 12/13/2007 <br />Permit: M2004053 <br />JUl " ~ o o ("~( 1f - o o - - ~~ ~~ o 0 0 o <br />3142 4300-01 Minerals Annual Fees <br />M-2004-053, fees paid by Eleuto J & Rita Rivera, Rivera's <br />Excavation $323.00 <br /> <br /> Receipt Totat: $323.00 <br />Page 1 of 1 <br />