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e- <br />Park County <br />Fee- <br />run Rer(+ �- H c�-f <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995027 <br />Om <br />019337 SMS I 4300 -01 I Minerals Annual Fees <br />M1995-027 <br />Receipt #: <br />Date: <br />Permit: <br />17248 <br />04/21/2014 <br />M1995027 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />