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Fremont County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986010 <br />[IIIIIIIIIIIIIIIII] <br />Receipt #: 18706 <br />Date: 12/29/2014 <br />Permit: M1986010 <br />yment Method <br />Revenue Ce <br />Fee Description /Notes <br />Amount <br />1: <br />11 1 <br />Minerals Annual Fees <br />1986-010 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />