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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000028 <br />Mike A Ferrero <br />000000000 <br />9412 jwd 14300-01 1 Minerals Annual Fees <br />M- 2000 -028, Paid By Virginia Ferrero <br />Receipt #: <br />Date: <br />Permit: <br />15188 <br />05/10/2013 <br />M2000028 <br />$323.00 <br />Receipt Total: 1 $323.001 <br />Page 1 of 1 <br />