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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1996052 <br />L.G. Everist, Inc. <br />Receipt #: <br />Date: <br />8738 <br />000000000 <br />Permit: <br />08/04/2010 <br />M1996052 <br />1674 4300-01 Minerals Annual Fees $791.00 <br />M-1996-052 <br />Receipt Total: $791.00 <br />Page 1 of 1