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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984040 <br />Larry L. Chartier <br />Receipt #: <br />Date: <br />Permit: <br />8645 <br />07/20/2010 <br />M1984040 <br />000000000 <br />5565 4300-01 Minerals Annual Fees $323.00 <br />M-1984-040, Paid By Chartier's Sand & Gravel <br />Receipt Total: $323.00 <br />Page 1 of 1