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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986007 <br />Glenn E. Southwick <br />Receipt #: <br />Date: <br />Permit: <br />6110 <br />07/14/2009 <br />M1986007 <br />000000000 <br />3482 14300-11 1 Minerals Technical Revision <br />M-1986-007 <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1