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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004063 <br />Receipt #: <br />Date: <br />5398 <br />Hocker Construction, LLP <br />Permit: <br />000000000 <br />18519-mr1 ~ 4300-01 ~ Minerals Annual Fees <br />M-2004-063 <br />04/14/2009 <br />M2004063 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />