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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009093 <br />Theisen Mineral <br />000000000 <br />242 <br />4300 -01 1 Minerals Annual Fees <br />M- 2009 -093, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15479 <br />06/26/2013 <br />M2009093 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />