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3B Enterprises, LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001060 <br />Receipt #: 13691 <br />Date: 09/17/2012 <br />Permit: M2001060 <br />Payment Method Revenue Code <br />Description Notes <br />A � <br />051011 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2001 -060 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />