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Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2015003 <br />Fortune Revenue Silver Mines, Inc. <br />Receipt #: <br />Date: <br />Permit: <br />20056 <br />08/10/2015 <br />P2015003 <br />1304 msr I 4300-PMOD I Prospecting Modification Fee 1 $86.00 <br />P2015-003 <br />Receipt Total: 1 $86.00 <br />Page 1 of 1 <br />