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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2011017 <br /> Breeze Basin Resources Receipt#: 20953 <br /> Date: 02/11/2016 <br /> Permit: M2011017 <br /> 000000000 <br /> MethodPayment Revenue Code ANIRWIp' tion/Notes Amount <br /> 1378 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M2011-017 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />