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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2014008 <br />Washington County Road and Bridge District <br />66760 msr 14300-02 1 Minerals Application Fees <br />M2004 -008 paid by Washington County <br />Receipt #: 16911 <br />Date: 02/24/2014 <br />Permit: M2014008 <br />$2,696.00 <br />Receipt Total: 1 $2,696.00 <br />Page 1 of 1 <br />