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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: <br />Date: <br />Permit: <br />4951 <br />02/18/2009 <br />Minerals <br />01 <br />Kelly J Custer <br />000000000 <br />Visa 14400 I Mineral Copies <br />M-1998-013, CD <br />$5.00 <br />Receipt Total: $5.00 <br />Page 1 of 1