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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981058 <br />r <br />Thomas F & Ginger L Latham <br />7967-mr1 <br />000000000 <br />Revenue .Code F <br />4300-01 Minerals Annual Fees <br />M-1981-058 <br />Receipt #: <br />Date: <br />Permit: <br />6493 <br />09/02/2009 <br />M1981058 <br />$791.00 <br />Receipt Total <br />$791.00 <br />Page 1 of 1