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Jordan C. and Jone L. Burdick <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987092 <br />Receipt #: 10991 <br />Date: 07/18/2011 <br />Permit: M1987092 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />3054 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1987 -092, Paid By Rocky Top Stone; Jordan and Jone <br />Burdick <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />