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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977215 <br />Receipt #: <br />Date: <br />Permit: <br />9574 <br />12/20/2010 <br />M1977215 <br />Emerald Mining & Leasing, LLC <br />000000000 <br />1140-mr1 1 4300-11 1 Minerals Technical Revision <br />M-1977-215 <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1