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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003074 <br />Receipt #: <br />Date: <br />10112 <br />Rock-N-Pine LLC <br />Permit: <br />000000000 <br />Cash-mr1 14300-01 1 Minerals Annual Fees <br />M-2003-074 <br />03/15/2011 <br />M2003074 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1