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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977416 <br /> Pinon Ridge Mining LLC Receipt#: 25581 <br /> George Glasier Date: 11/21/2017 <br /> P O Box 825 Permit: M1977416 <br /> 31161 Highway 90 <br /> Nucla CO 814240000 <br /> !Payment*hail_...,_ '1_ <br /> t Code *F'Es+ nption/Noie Amount <br /> ,ten v ...,� �. � ..w,�,.�.. � ... .;:.�. ...,.._........� <br /> Check#1257 4300-MAFO Minerals Annual Fees $518.00 <br /> User. sdt <br /> Due 11/1/17 <br /> Receipt Total: $518.00 <br /> Page 1 of 1 <br />