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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010019 <br />Receipt #: <br />Date: <br />7846 <br />Thomas H. Smith <br />Permit: <br />000000000 <br />5801-mr1 14300-02 1 Minerals Application Fees <br />M-2010-019, fees paid by T.H. Smith Dev. Co. <br />03/30/2010 <br />M2010019 <br />$2,696.00 <br />Receipt Total: 1 $2,696.00 <br />Page 1 of 1