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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1989095 <br />Phillips County <br />Receipt #: <br />Date: <br />Permit: <br />6855 <br />10/19/2009 <br />M1989095 <br />18972 14300-01 <br />000000000 <br />Minerals Annual Fees <br />M-1989-095 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1