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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010054 <br />Receipt #: <br />Date: <br />Permit: <br />8766 <br />08/06/2010 <br />M2010054 <br />Timothy D. Williams & Betty J. Williams <br />000000000 <br />3569-mr1 4300-02 Minerals Application Fees <br />M-2010-054, fee paid by Tim Williams <br />$1,258.00 <br />Receipt Total: $1,258.00 <br />Page 1 of 1