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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977244 <br />Jefferson County <br />000000000 <br />Receipt #: 4550 <br />Date: 12/22/2008 <br />Permit: M1977244 <br />Method Payment Revenue Code Fee Description/Notes Amount <br />00496560 4300-01 Minerals Annual Fees $791.00 <br />M-1977-244 <br />00496560 4300-01 Minerals Annual Fees $791.00 <br />M-1977-245 <br />00496560 4300-01 Minerals Annual Fees $791.00 <br />M-1980-084 <br />Receipt Total: $2,373.00 <br />Page 1 of 1