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American Shale Oil, LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for P2008046 <br />TWA <br />Receipt #: 13861 <br />Date: 10/09/2012 <br />Permit: P2008046 <br />Payment Meth <br />Revenue Code <br />e Description/Notes Amount <br />10763 <br />4300 -15 <br />Prospecting Modification Fee <br />P- 2008 -046, CMB <br />$86.00 <br />Receipt Total: I $86.00 <br />Page 1 of 1 <br />