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Patriot Diamonds Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2011022 <br />Receipt #: 11013 <br />Date: 07/22/2011 <br />Permit: P2011022 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />238 <br />4300 -10 <br />Minerals Prospecting Application Fee /NOI <br />P- 2011 -022, Paid By Cynthia M. Coopersmith /Howard G. <br />Coopersmith <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />