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Annual Fee Payment <br /> Annual Fee Payment <br /> Payment Confirmation Number* (?) <br /> 176023156 <br /> Signature <br /> I,the undersigned, hereby state that the information provided in this report is true and accurate, <br /> and that site operations are being conducted in accordance with the Division approved mining and <br /> reclamation plans. <br /> I Agree <br /> If you do not see the"Submit' button after completing your report,try to un-check and then re-check the"I Agree" box. <br /> Previous <br />