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REr'FIVED <br />AUG 0-�2015 <br />L. G. Everist, Incorporated <br />')ivision of Reclamation, Mining, and Safety <br />Fee Receipt for M1996052- <br />199271 SDT 14300-MAFO I Minerals Annual Fees <br />M1996-052 <br />Receipt #: <br />Date: <br />Permit: <br />20043 <br />08/07/2015 <br />M1996052 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />