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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001087 <br />Fremont County <br />000000000 <br />106047 msr 14300-01 1 Minerals Annual Fees <br />M2001 -087 <br />Receipt #: <br />Date: <br />Permit: <br />16699 <br />01/17/2014 <br />M2001087 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />