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Crystal Springs Ranch Inc. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010036 <br />Receipt #: 13245 <br />Date: 07/09/2012 <br />Permit: M2010036 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />1499 jwd <br />4300 -04 <br />Minerals Conversions <br />M- 2010 -036 <br />$2,696.00 <br />Receipt Total: I $2,696.00 <br />Page 1 of 1 <br />