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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999069 <br />Jake Kauffman & Son, Inc. <br />000000000 <br />Receipt #: 2185 <br />Date: 01 /02/2008 <br />Permit: M1999069 <br />p~ - o o G~ca~~ca o o- [boo De-~c~c~~C? o o G~u~~ <br />64030 4300-01 Minerals Annual Fees <br />M-1999-069, fees paid by Jake Kauffman & Son, Inc. $791.00 <br /> Receipt Total: $791.00 <br />Page 1 of 1 <br />