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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />?Aquoimix, Inc. <br />Mark Jensen <br />000000000 <br />Visa <br />4400 Mineral Copies <br />1-DVD for M-1977-218UG & M-1999-002 <br />Receipt #: <br />Date: <br />Permit: <br />6404 <br />08/20/2009 <br />Minerals <br />$20.00 <br />Receipt Total: $20.00 <br />Page 1 of 1