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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001017 <br />L.G. Everist, Inc. <br />158765 <br />000000000 J <br />Revenue .. <br />4300-01 Minerals Annual Fees <br />M-2001-017 <br />Receipt #: <br />Date: <br />Permit: <br />6397 <br />08/20/2009 <br />M2001017 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1