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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001012 <br />Washington County <br />Receipt #: <br />Date: <br />Permit: <br />19525 <br />05/14/2015 <br />M2001012 <br />1 70713 msr 14300-MAFO I Minerals Annual Fees 1 $791.001 <br />M2001-012 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />