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Fremont County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990138 <br />108383 msr 1 4300 -MAFO I Minerals Annual Fees <br />M 1990 -138 <br />Receipt #: <br />Date: <br />Permit: <br />18708 <br />12/29/2014 <br />M1990138 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />