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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983102 <br />Receipt #: <br />Date: <br />Permit: <br />6491 <br />09/02/2009 <br />M1983102 <br />CReclarnation Ridge, LLC <br />000000000 <br />3895-mr1 4300-01 Minerals Annual Fees <br />M-1983-102, fees paid by Overlook Mine Sand & Gravel <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1