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Logan County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987159 <br />95621 kja for MIS 4300 -01 1 Minerals Annual Fees <br />M1987 -159 kja for MSR <br />Receipt #: <br />Date: <br />Permit: <br />16413 <br />11/22/2013 <br />M1987159 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />