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Gilcrest Reservoir, L.L.C. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000158 <br />Receipt #: 13513 <br />Date: 08/14/2012 <br />Permit: M2000158 <br />Payment Method Revenue ` <br />Fee Description /Notes <br />Amount <br />105830929 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2000 -158, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />