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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1982154 <br />Receipt #: <br />Date: <br />4165 <br />Farnsworth Construction Co. <br />Permit: <br />000000000 <br />8566-mr1 14300-01 1 Minerals Annual Fees <br />M-1982-154 <br />10/14/2008 <br />M1982154 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1