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GSL /Brush LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001085 <br />Receipt #: 13618 <br />Date: 09/04/2012 <br />Permit: M2001085 <br />Paymen <br />od <br />Revenue Code <br />Fee Descrip Uon /Notes, Amount <br />2006 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2001 -085, Paid By 120 85 LLC <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />