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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987092 <br />Receipt #: <br />Date: <br />Permit: <br />8548 <br />07/08/2010 <br />M1987092 <br />Jordan C. and Jone L. Burdick <br />000000000 <br />2894 14300-01 1 Minerals Annual Fees <br />M-1987-092, Paid By Rocky Top Stone/ Jordan and Jone <br />Burdick <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1