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ARS, Inc. <br />P.O. Box 504 <br />Arvada <br />CO 800010504 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for Minerals <br />Receipt #: 13411 <br />Date: 07/30/2012 <br />Permit: Minerals <br />Paymen <br />Revenue Code € Descript or !N€ <br />Amount <br />53684 jwd <br />4400 <br />Mineral Copies <br />M- 1980 -020, CD <br />$5.00 <br />Receipt Total: I $5.00 <br />Page 1 of 1 <br />