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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1997084 <br /> Keystone Portfolio Management, LP Receipt#: 22955 <br /> John Clement Date: 02/17/2017 <br /> 13020 FM 1641 <br /> Permit: M1997084 <br /> Forney TX 751260000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#001410 4300-MAFO Minerals Annual Fees $323.00 <br /> Due 02/02/17 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />