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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1993030 <br /> Crystal Jack Mining, LLC Receipt#: 21178 <br /> Date: 03/25/2016 <br /> Permit: M1993030 <br /> 000000000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> 8770 SDT 4300-MAFO Minerals Annual Fees $86.00 <br /> M1993-030 - Paid By: Pinnacle 5 Minerals, LLC <br /> Receipt Total: $86.00 <br /> Page 1 of 1 <br />