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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001070 <br />Wallace F. or Joanne Burtis <br />000000000 <br />Receipt #: 3712 <br />Date: 08/08/2008 <br />Permit: M2001070 <br />pfln(M w@U@9 Gw@l`i i U@ IFoo o trB TOZ9G7i i? <br />7761 4300-01 Minerals Annual Fees <br />M-2001-070 $259.00 <br /> <br /> Receipt Total: $259.00 <br />Page 1 of 1