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Ron Ebberts <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980038 <br />Receipt #: 11372 <br />Date: 09/15/2011 <br />Permit: M1980038 <br />Payment Method Revenue Cod <br />-PG@ Description /Notes <br />2974 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1980 -038 <br />Receipt Total: I <br />$323.00 <br />$323.00 I <br />Page 1 of 1 <br />