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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1989023 <br />Receipt #: <br />Date: <br />7590 <br />Clyde A Couch/Marie J Couch <br />Permit: <br />000000000 <br />8375 1 4300-01 1 Minerals Annual Fees <br />M-1989-023 <br />02/18/2010 <br />M1989023 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1