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Washington County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997015 <br />69571 msr 1 4300 -MAFO I Minerals Annual Fees <br />M 1997 -015 <br />Receipt #: <br />Date: <br />Permit: <br />18729 <br />01/05/2015 <br />M1997015 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />