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HCR High Country Repair <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003002 <br />1/1111111 <br />Receipt #: 20185 <br />Date: 09/01/2015 <br />Permit: M2003002 <br />Method <br />4ea.Description/Notesfta, <br />Amount <br />4289 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2003-002 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />