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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994092 <br />Shane Cooper <br />Receipt #: <br />Date: <br />Permit: <br />5069 <br />03/05/2009 <br />M1994092 <br />000000000 <br />4088 14300-01 1 Minerals Annual Fees <br />M-1994-092, Paid By Cooper Excavating <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1