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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004028 <br />Receipt #: <br />Date: <br />Permit: <br />9007 <br />09/16/2010 <br />M2004028 <br />01 <br />Febbraro Construction Co. <br />000000000 <br />10417 4300-01 Minerals Annual Fees I $323.00 <br />1 I M-2004-028 <br />Receipt Total: $323.00 <br />Page 1 of 1