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Washington County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000084 <br />68548 msr 1 4300 -MAFO I Minerals Annual Fees <br />M2000 -084 <br />Receipt # <br />Date <br />Permit: <br />18097 <br />08/28/2014 <br />M2000084 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />