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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007012 <br />Gregory Larson <br />000000000 <br />7305 <br />Receipt #: <br />Date: <br />Permit: <br />6790 <br />10/15/2009 <br />M2007012 <br />4300-01 Minerals Annual Fees $791.00 <br />M-2007-012 <br />Receipt Total: $791.00 <br />Page 1 of 1