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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004030 <br />T Bone Stone, Inc. <br />000000000 <br />3912 14300-01 1 Minerals Annual Fees <br />M-2004-030 <br />Receipt #: 6549 <br />Date: 09/11/2009 <br />Permit: M2004030 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1