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Nuvemco, LLC <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977293 <br />Receipt #: 14173 <br />Date: 11/27/2012 <br />Permit: M1977293 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />8703 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1977 -293 <br />$518.00 <br />Receipt Total: I $518.00 <br />Page 1 of 1 <br />