Dor Form 82061-B - Property Tax Form - Mines (Other Than Copper) - 2014 Page 8

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MINES(OTHER THAN COPPER)
CONFIDENTIAL
Company Name___________________________________
For the Year Ended December 31, 2012
FUTURE PROJECTED PRODUCTION VALUE
PHASE 1
PHASE 2
PHASE 3
PHASE 4
PHASE 5
_SILVER & GOLD PRODUCTION______________ _______________
______________
______________ ______________
|Ounces of Silver____|
______________|
_____________|
_____________|
_____________|
_____________|
|Avrge Sales Price___|
_____________|
_____________|
_____________|
_____________|
_____________|
|Value-Silver Producd|
______________|
_____________|
_____________|
_____________|
_____________|
|Ounces of Gold______|
_____________|
_____________|
_____________|
_____________|
_____________|
|Average Sales Price_|
______________|
_____________|
_____________|
_____________|
_____________|
|Value-Gold Produced_|
_____________|
_____________|
_____________|
_____________|
_____________|
_URANIUM PRODUCTION___
______________
______________
______________
______________ ______________
|Pounds of Uranium___|
______________|
_____________|
_____________|
_____________|
_____________|
|Average Sales Price_|
______________|
_____________|
_____________|
_____________|
_____________|
|Value-Uranium Prodcd|
_____________|
_____________|
_____________|
_____________|
_____________|
__COAL PRODUCTION_____ ______________|
_____________|
_____________|
_____________|
_____________|
|Tons of Coal Producd|
_____________|
_____________|
_____________|
_____________|
_____________|
|Average Sales Price_|
______________|
_____________|
_____________|
_____________|
_____________|
|Value - Coal Producd|
_____________|
_____________|
_____________|
_____________|
_____________|
___OTHER PRODUCTS(Describe Units, ie. $/TON, $/LB)_____________________
______________ ______________
|Quantity Produced___|
______________|
_____________|
_____________|
_____________|
_____________|
|Average Sales Price_|
______________|
_____________|
_____________|
_____________|
_____________|
|Value of Product____|
_____________|
_____________|
_____________|
_____________|
_____________|
___OTHER BYPRODUCTS(Describe Units, ie. $/TON, $/LB)________________
______________ ______________
|Amount-Byprduct #1__|
______________|
_____________|
_____________|
_____________|
_____________|
|Average Sales Price_|
______________|
_____________|
_____________|
_____________|
_____________|
|Value Byproduct #1__|
_____________|
_____________|
_____________|
_____________|
_____________|
|Amount-Byprduct #2__|
______________|
_____________|
_____________|
_____________|
_____________|
|Average Sales Price_|
______________|
_____________|
_____________|
_____________|
_____________|
|Value Byproduct #2__|
_____________|
_____________|
_____________|
_____________|
_____________|
__PRODUCTION REVENUES_
______________
______________
______________
______________ ______________
|Main Product Value-$|
______________|
_____________|
_____________|
_____________|
_____________|
|Value-All Byproduct$|
_____________|
_____________|
_____________|
_____________|
_____________|
|Miscellaneous Rev$__|
______________|
_____________|
_____________|
_____________|
_____________|
|Gross Product Value$|
_____________|
_____________|
_____________|
_____________|
_____________|
DOR Form 82061-B (Rev. 11-12)
PAGE A8 OF A19

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