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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004037 <br />John M. Everitt <br />Receipt #: <br />Date: <br />Permit: <br />3622 <br />07/23/2008 <br />M2004037 <br />000000000 <br />3055 14300-01 1 Minerals Annual Fees <br />M-2004-037, fees paid by John & Janice Everitt <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1