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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006010 <br />MS Forest <br />Receipt #: <br />Date: <br />Permit: <br />6294 <br />08/06/2009 <br />M2006010 <br />000000000 <br />1029 14300-01 1 Minerals Annual Fees <br />M-2006-010, Paid By Scott or Mary Canda <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1