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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001056 <br />Elbert County <br />Receipt #: <br />Date: <br />Permit: <br />9465 <br />11/30/2010 <br />M2001056 <br />000000000 <br />126949 14300-01 1 Minerals Annual Fees <br />M-2001-056 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1