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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Terry Pratt <br />000000000 <br />Visa I 4400 I Mineral Copies <br />M-1983-102 <br />Receipt #: <br />Date: <br />Permit: <br />Receipt Total: <br />5836 <br />06/12/2009 <br />Minerals <br />$5.00 <br />$5.00 <br />Page 1 of 1