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Beltramo Leasing, LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2008001 <br />Receipt #: 14134 <br />Date: 11/20/2012 <br />Permit: M2008001 <br />Payment Method Revenue Code Fee Description /Notes Amount <br />55397 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2008 -001, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />