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B - Mining Company <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986102 <br />Receipt #: 13636 <br />Date: 09/05/2012 <br />Permit: M1986102 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />2146 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1986 -102, Paid By Collins Morehead LLC <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />