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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001017 <br />L.G. Everist, Inc. <br />000000000 <br />166202 14300-01 <br />Minerals Annual Fees <br />M-2001-017 <br />Receipt #: <br />Date: <br />Permit: <br />9049 <br />09/22/2010 <br />M2001017 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1