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Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Nicholas A Talocco <br />Receipt #: <br />Date: <br />Permit: <br />INK . I .a <br />12/01/2009 <br />Minerals <br />Visa 14400 1 Mineral Copies <br />M- 1983 -141 M- 1994 -117 M- 1992 -081 M- 1998 -127 <br />$10.00 <br />Receipt Total: 1 $10.00 <br />Page 1 of 1 <br />