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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2008027 <br />Black Diamond Minerals, LLC <br />000000000 <br />0013968 jwd 4300 -11 1 Minerals Technical Revision <br />M- 2008 -027, Balance Due <br />�--;�Ie1 <br />Receipt #: 15922 <br />Date: 09/06/2013 <br />Permit: M2008027 <br />$72.00 <br />Receipt Total: 1 $72.00 <br />Page 1 of 1 <br />