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Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2011001 <br />Receipt #: <br />Date: <br />Permit: <br />9668 <br />01/06/2011 <br />P2011001 <br />Empress Gold Mining & Milling, Inc. <br />000000000 <br />3681 14300-10 1 Minerals Prospecting Application Fee/NOI <br />P-2011-001, Paid By Empress Mining Co. <br />$86.00 <br />Receipt Total: $86.00 <br />Page 1 of 1 <br />