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Fremont County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999033 <br />106836 msr 14300-01 1 Minerals Annual Fees <br />Receipt #: <br />Date: <br />Permit: <br />17272 <br />04/24/2014 <br />M1999033 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />