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Vista Verde Village, LLC. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1992049 <br />Receipt #: 14098 <br />Date: 11/15/2012 <br />Permit: M1992049 <br />Payment Method Revenue Code <br />Fee Description/Notes <br />Amount <br />CMB, 1436 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1992 -049 PDA KEITH ZIMMERMAN <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />