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Luis M. Vasquez <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999063 <br />Receipt #: 18393 <br />Date: 10/16/2014 <br />Permit: M1999063 <br />Method Payment <br />Revenue Code <br />003343 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1999 -063 paid by Blue Mountain Stone Inc. <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />