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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002106 <br />Receipt ##: <br />Date: <br />Permit: <br />9056 <br />09/22/2010 <br />M2002106 <br />Larry Mondragon <br />000000000 <br /> 1 Minerals Annual Fees <br />M-2002-106 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1