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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987072 <br />Receipt #: <br />Date: <br />Permit: <br />6662 <br />09/25/2009 <br />M1987072 <br />Stanley J Conner <br />000000000 <br />Cash 4300-01 Minerals Annual Fees $259.00 <br />M-1987-072, Paid By Tom Musch <br />Receipt Total: $259.00 <br />Page 1 of 1