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! <br />J <br />t <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2013052 <br />I Jean Marie Cowman <br />1045 msr 4300 -MAFO Minerals Annual Fees <br />, <br />M2013 -052 paid by Everbloom Gemstones LLC <br />Receipt Total: <br />1 <br />s ! <br />{ <br />I <br />Receipt #: <br />19467 <br />Date: 04/30/2015 <br />Permit: M2013052' <br />t <br />$259.00 <br />U <br />$259.00 <br />Page 1 of 1 <br />