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Annual Fee Payment <br />Payment Confirmation Number *(?) <br />Previous <br />Annual Fee Payment <br />262967170 <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.