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Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2015021 <br />Mask Ranh, LLC <br />000000000 <br />Payment Nlethod Revenue Code Fee Description/Notes <br />1065 SD <br />4300-PNOI <br />Minerals Prospecting Application Fee/NOI <br />P2015-021 (Charles Schwab Bank) <br />Receipt #: 20650 <br />Date: 11/30/2015 <br />Permit: P2015021 <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />