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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986007 <br />Receipt #: 7569 <br />Glenn Southwick Date: 02/16/2010 <br />Permit: M1986007 <br />000000000 <br />$323.00 <br />1583 4300-01 Minerals Annual Fees <br />M-1986-007, Paid By Glenn E Southwick/Laurie L Southwick <br />Receipt Total: $323.00 <br />Page 1 of 1