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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Larry Perino <br />Receipt #: <br />Date: <br />Permit: <br />4889 <br />02/10/2009 <br />Minerals <br />000000000 <br />3279-mr1 14400 1 Mineral Copies <br />M-1977-378, paid for 2 DVD's <br />$40.00 <br />Receipt Total: $40.00 <br />Page 1 of 1