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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: <br />Date: <br />Permit: <br />7077 <br />11/25/2009 <br />Minerals <br />Burkhart Planning & Permitting, LLC <br />Dan Burkhart <br />000000000 <br />1119-mr1 4400 Mineral Copies $5.00 <br />M-1980-246, 1CD <br />Receipt Total: $5.00 <br />Page 1 of 1