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Crystal Jack Mining, LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1993030 <br />[�I�Idd1IlI�I�I�] <br />Receipt #: 19350 <br />Date: 04/16/2015 <br />Permit: M1993030 <br />Receipt Total: $86.00 <br />Page 1 of 1 <br />8336 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />$86.00 <br />M1993 -030 paid by Pinnacle 5 Minerals LLC /Joseph L. or <br />Susan M. Dorris <br />Receipt Total: $86.00 <br />Page 1 of 1 <br />