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Jubilee Venture, LLC <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011029 <br />X IIII1I1II <br />10456 jwd 4300 -11 1 Minerals Technical Revision <br />M- 2011 -029 <br />Receipt #: 15921 <br />Date: 09/06/2013 <br />Permit: M2011029 <br />$175.00 <br />Receipt Total: 1 $175.00 <br />Page 1 of 1 <br />