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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991080 <br />Russ Van Egmond <br />000000000 <br />Receipt #: 4228 <br />Date: 10/20/2008 <br />Permit: M1991080 <br />pn •, o o o o` ICO?6 o a o GVn?3 <br />9049 4300-01 Minerals Annual Fees <br />M-1991-080, Paid By Van Egmond Services, Inc. $323.00 <br /> Receipt Total: $323.00 <br />Page 1 of 1