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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />el- <br />Jack Nickerson <br />000000000 <br />Cash-mr1 4400 Mineral Copies <br />M-1980-246, fee paid by Jack Nickerson <br />Receipt #: <br />Date: <br />Permit: <br />4463 <br />12/05/2008 <br />Minerals <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1