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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005065 <br />Jack Clark Jr. <br />000000000 <br />1244-m r1 <br />4300-01 <br />Minerals Annual Fees <br />Receipt #: <br />Date: <br />Permit: <br />M-2005-065, fees paid by Upper Anumas Rock Products LLP <br />4328 <br />11/10/2008 <br />M2005065 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1