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Chris Garrison <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2009007 <br />Receipt #: 13457 <br />Date: 08/07/2012 <br />Permit: P2009007 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />5246 jwd <br />4300 -15 <br />Prospecting Modification Fee <br />P- 2009 -007, Paid By C &C Excavating Inc. <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />