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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003092 <br />Nick H. Gray <br />000000000 <br />Receipt #: 3509 <br />Date: 07/10/2008 <br />Permit: M2003092 <br /> Gdo 0 o Goo KGB o ?Y1ln N?t?4 <br />25404 4300-01 Minerals Annual Fees <br />M-2003-092, Paid By Hard-Rock Paving & Redi-Mix, Inc. $791.00 <br /> <br /> Receipt Total: $791.00 <br />Page 1 of 1