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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997094 <br />Receipt #: <br />Date: <br />4388 <br />Siloam Stone, Inc. <br />Permit: <br />000000000 <br />7032 14300-01 1 Minerals Annual Fees <br />M-1997-094 <br />11/17/2008 <br />M1997094 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1