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STATE OF NEVADA DEPARTMENT OF MINERALS 400 W. King Street, Suite 106 Carson City, Nevada 89710 (702) 687-5050 BOB MILLER Governor Fax (702) 687-3957 Las Vegas Branch 4220 S. Maryland Pkwy, Suite 304

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5. Attach any cover sheet or notes that are necessary. This can include contact information, a brief description of the documents being sent, or any other important details for the recipient.
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