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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984154 <br />City of Lamar Receipt #: <br />Date: <br />Permit: <br />000000000 <br />4300 -01 Minerals Annual Fees <br />M- 1984 -154 <br />7123 <br />12/07/2009 <br />M 1984154 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />