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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Roberta L Ringstrom <br />Receipt #: <br />Date: <br />Permit: <br />6386 <br />08/18/2009 <br />Minerals <br />000000000 <br />Visa 14400 1 Mineral Copies <br />M-2006-073, CD <br />$5.00 <br />Receipt Total: 1 $5.00 <br />Page 1 of 1