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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004048 <br />Robert Daugherty <br />Receipt #: <br />Date: <br />Permit: <br />6726 <br />10/05/2009 <br />M2004048 <br />000000000 <br />17146673256-mr 4300-01 Minerals Annual Fees <br />M-2004-048, paid with MO <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1