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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991147 <br />Belvedere Stone, LLC <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />6484 <br />09/01/2009 <br />M1991147 <br />1010 4300-01 Minerals Annual Fees $323.00 <br />M-1991-147 <br />Receipt Total: $323.00 <br />Page 1 of 1