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Joseph Curtis Harden <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004008 <br />Receipt #: 11659 <br />Date: 10/21/2011 <br />Permit: M2004008 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />5732 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2004 -008, Paid By J Curt Harden <br />$259.00 <br />Receipt Total: I $259.00 <br />Page 1 of 1 <br />