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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992003 <br />Silver Mountain Preserve, Inc. <br />Receipt #: <br />Date: <br />4737 <br />01/19/2009 <br />M1992003 <br />Permit: <br />000000000 <br />1084-mr1 14300-01 1 Minerals Annual Fees <br />M-1992-003 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1