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Division of Reclamation, Mining, and Safety <br />Belvedere Stone, LLC <br />Fee Receipt for M1991147 <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />1013 <br />4300-01 <br />Minerals Annual Fees <br />M-1991-147 <br />8636 <br />07/19/2010 <br />M1991147 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1