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Gold Hill Mines, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983141 <br />4324 jwd 4300 -01 1 Minerals Annual Fees <br />M- 1983 -141, Paid By Mi Vida Enterprises <br />Receipt #: <br />Date: <br />Permit: <br />16070 <br />09/30/2013 <br />M1983141 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />Page 1 of 1 <br />