2016-06-01_REPORT - M2006017

• Permit No: M2006017
• IBM Index Class Name: Report
• Doc Date: 6/1/2016
• Doc Name: Annual Fee, Report & Map
• From: Jemadojin Sand Mine
• To: DRMS
• Annual Report Year: 2016
• Email Name: TC1
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M2OO6O17
Premier Silica LLC Receipt#: 21572
Michael Miclette Date: 06/01/2016
5205 N. O'Connor Blvd., Suite 200
Permit: M2006017
Irving TX 750390000
Payment Method Revenue Code Fee Description/Notes Amount
Check#1234 4300-MAFO Minerals Annual Fees $791.00
Receipt Total: $791.00
Page 1 of 1