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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007012 <br />Gregory Larson <br />Receipt #: <br />Date: <br />4050 <br />000000000 <br />Permit: <br />09/29/2008 <br />M2007012 <br />pt WAO@o] @@M@ (boo 0 4 0 0 a COM@W? <br />6339 4300-01 Minerals Annual Fees <br />M-2007-012, Paid By Greg or Jesse Larson, Farm Account $791.00 <br /> Receipt Total: $791.00 <br />Page 1 of 1