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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991081 <br />Sam Keeling <br />7597-mr1 <br />000000000 J <br />Revenue .. <br />4300-01 Minerals Annual Fees <br />M-1991-081 <br />Receipt #: <br />Date: <br />Permit: <br />6677 <br />09/25/2009 <br />M1991081 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1