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IAnnual Fee Payment <br />Annual Fee Payment <br />Payment Confirmation Number* (') <br />25OM20M <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.'I` <br />I Agree <br />If you do not see the "Submit' button after completing your report, try to un-check and Men re -check the 'I Agree' box. <br />