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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986007 <br />Glenn Southwick <br />Receipt #: <br />Date: <br />4995 <br />02/23/2009 <br />000000000 <br />1255-mr1 4300-01 1 Minerals Annual Fees <br />M-1986-007 <br />Permit: <br />M1986007 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1