Dor Form 82061-B - Property Tax Form - Mines (Other Than Copper) - 2014 Page 13

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MINES(OTHER THAN COPPER)
CONFIDENTIAL
LOCATION BY TAX AREA CODE OF
ORIGINAL COST FOR REAL AND PERSONAL PROPERTY
Based on Original Cost
(Figures Expressed in Thousands of Dollars)
Company Name___________________________________
For the Year Ended December 31, 2012
Operation______________________________________
County of___________________________
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1.
PERSONAL PROPERTY
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TAX | MINING
|SMELTER
|ENVIRON- |OFFICE |REFINING |LEACHING |CONSTRUC |MISCELLA |ORIGINAL
CODE|
|
| MENTAL
|
|&MILLING | & SXEW
| -TION
| -NEOUS
|COST SUM
---------------------------------------------------------------------------------------------------
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_____|_________|_________|_________|_______|_________|_________|_________|_________|____________
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_SUM_|_________|_________|_________|_______|_________|_________|_________|_________|____________
______________________________________________________________________________________________________
2.
BUILDINGS AND STRUCTURES
---------------------------------------------------------------------------------------------------
TAX | MINING
|SMELTER
|ENVIRON- |OFFICE |REFINING |LEACHING |CONSTRUC |MISCELLA |ORIGINAL
CODE|
|
| MENTAL
|
|&MILLING | & SXEW
| -TION
| -NEOUS
|COST SUM
---------------------------------------------------------------------------------------------------
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_SUM_|_________|_________|_________|_______|_________|_________|_________|_________|____________
DOR Form 82061-B (Rev. 11-12)
PAGE A13 OF A19

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