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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977416 <br /> Pinon Ridge Mining LLC Receipt#: 22511 <br /> George Glasier Date: 11/15/2016 <br /> P O Box 825 <br /> 31161 Highway 90 Permit: M1977416 <br /> Nucla CO 814240000 <br /> . . ® lip • <br /> Check#1209 4300-MAFO Minerals Annual Fees $518.00 <br /> Due 11/01/16 <br /> Receipt Total: $518.00 <br /> Page 1 of 1 <br />