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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002003 <br />Glacier Peak Art, Gems & Minerals <br />Receipt #: <br />Date: <br />Permit: <br />10079 <br />03/09/2011 <br />M2002003 <br />000000000 <br />1312 4300-01 Minerals Annual Fees $259.00 <br />M-2002-003, Paid By Glacier Peak Mining LLC, Joseph L. or <br />Susan M. Dorris <br />Receipt Total: $259.00 <br />Page 1 of 1