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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986076 <br />DGMC <br />000000000 <br />Receipt #: 4575 <br />Date: 12/29/2008 <br />Permit: M1986076 <br />4612 14300-01 1 Minerals Annual Fees 1 $518.00 <br />M-1986-076, Paid By Video Flic's/ James Bender <br />Receipt Total: $518.00 <br />Page 1 of 1