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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986004 <br />Harold Brandstadt <br />Receipt #: <br />Date: <br />4774 <br />01 /27/2009 <br />M1986004 <br />Permit: <br />11929-mr1 <br />000000000 J <br />..- <br />4300-01 Minerals Annual Fees <br />M-1986-004 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />