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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1985140 <br />Receipt #: <br />Date: <br />Permit: <br />2671 <br />03/12/2008 <br />M1985140 <br />David Goss <br />000000000 <br />..r FF 1~~f: `~~1 ~, a1: ~ f..JlV~_'~:~i ~1 ~J ,.~.~bll 1~1's1- _ _ i~,'t i©~~QnR~': <br />1021 4300-01 Minerals Annual Fees <br />M-1985-140, Paid By Walter DGoss/Dean Goss/ Audra L Goss $323.00 <br /> <br /> Receipt Total: $323.00 <br />Page 1 of 1 <br />