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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2001012 <br /> Washington County Receipt#: 17567 <br /> Date: 06/05/2014 <br /> Permit: M2001012 <br /> 000000000 <br /> MethodPayment Revenue Code Fee Description/Notes Amount <br /> 67850 4300-01 Minerals Annual Fees $791.00 <br /> M-2001-012, jwd <br /> Receipt Total: r $791700 <br /> Page 1 of 1 <br />