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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009077 <br />Tracey and Ed Grimes <br />Receipt #: <br />Date: <br />Permit: <br />6682 <br />09/28/2009 <br />M2009077 <br />000000000 <br />2055 14300-02 1 Minerals Application Fees <br />M-2009-077, Paid By Ed or Tracy Grimes <br />$1,258.00 <br />Receipt Total: 1 $1,258.00 <br />Page 1 of 1