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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999120 <br />L.G. Everist, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />5765 <br />06/04/2009 <br />M1999120 <br />000000000 <br />156845 14300-01 1 Minerals Annual Fees <br />M-1999-120 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1