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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001056 <br />Elbert County <br />000000000 <br />14201 msr 14300-11 1 Minerals Technical Revision <br />M2001 -056 <br />Receipt #: <br />Date: <br />Permit: <br />16542 <br />12/19/2013 <br />M2001056 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />