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Park County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1986140 <br />111111111 <br />023038 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1986 -140 <br />Receipt # <br />Date <br />Permit <br />19312 <br />04/14/2015 <br />M1986140 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />