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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994077 <br />Washington County <br />Receipt #: 19908 <br />Date: 07/20/2015 <br />Permit: M1994077 <br />71263 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M1994-077 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />