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Evan L. Melby, Inc. <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999073 <br />Receipt #: 18999 <br />Date: 02/21/2015 <br />Permit: M1999073 <br />UVUwwA9w" <br />Y- - • • - <br />® e • Y• <br />• l <br />12608 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1999 -073 paid by Melby Ranch Properties, LLC <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />