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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004017 <br />Receipt #: <br />Date: <br />10812 <br />Willits Company, Inc. <br />Permit: <br />000000000 <br />013161 14300-01 1 Minerals Annual Fees <br />M-2004-017 <br />06/21/2011 <br />M2004017 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />