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#17 Enterprises, LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978221 <br />IUIIIIIIIIIIIIII] <br />Receipt #: 18846 <br />Date: 01/21/2015 <br />Permit: M1978221 <br />Dayment Method <br />Revenue Code <br />Md& <br />Description/Notes 4jjjjjjjj& <br />Amount <br />23348 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />$323.00 <br />M1978 -221 paid by #10 Enterprises, LLC dba The High <br />Lonesome Ranch <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />