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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997094 <br />Siloam Stone <br />000000000 <br />Receipt #: 9409 <br />Date: 11/19/2010 <br />Permit: M1997094 <br />9277 14300-01 1 Minerals Annual Fees 1 $323.00 <br />M-1997-094 <br />Receipt Total: $323.00 <br />Page 1 of 1