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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986010 <br />Fremont County {PR - Perm ittee /Operator Cor <br />106016 msr 1 4300 -01 1 Minerals Annual Fees <br />M1986 -010 <br />Receipt #: <br />Date: <br />Permit: <br />16633 <br />01/06/2014 <br />M 1986010 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />