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Cheyenne County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007076 <br />[IIIIIIIIZoIl O O <br />76419 msr 1 4300 -MAFO I Minerals Annual Fees <br />M2007 -076 <br />Receipt #: <br />Date: <br />Permit: <br />18857 <br />01/22/2015 <br />M2007076 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />