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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977020 <br />327948156FLMaitland <br />P.O. Box 948156 <br />Bill St. James <br />Receipt #: <br />08/16/2016 <br /> 22028 <br />Date: <br />M1977020Permit: <br />Keys Blue Haven LLC <br />Fee Description/Paid By Other Entity/NotesRevenue CodePayment Method Amount <br />Check #5802 $791.00 4300-MAF0 Minerals Annual Fees <br />2016 <br />Mountain Shore Investments LP <br />$791.00 Receipt Total: <br />Page 1 of 1