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Colorado Lien Company <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977301 <br />I I I I AIIAIII <br />Receipt #: 20205 <br />Date: 09/09/2015 <br />Permit: M1977301 <br />ilawt Method Revenue Code Fee Description/Notes Amount <br />238823 SDT 4300-MAFO Minerals Annual Fees 791.00 <br />M1977301 Sent check only. The remainder is on its way, per: <br />PR. <br />Receipt Total: 1 $791.00 <br />Page 1 of 1