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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983011 <br />Jelen & Son, Inc. <br />000000000 <br />Receipt #: 2532 <br />Date: 02/21 /2008 <br />Permit: M1983011 <br />p~- o o G3e-~ca~a~ a o- loco ~r~ o z o ~ GJc~od~? <br />11383 4300-01 Minerals Annual Fees $259.00 <br /> M-1983-011, fees paid by Design West, LLC and Peak Repair, <br /> LLC <br /> Receipt Total: $259.00 <br />Page 1 of 1 <br />