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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977245 <br />Jefferson County <br />Receipt #: 19645 <br />Date: 06/02/2015 <br />Permit: M1977245 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />Minerals Technical Revision <br />M 1977-245 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />