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Cheyenne County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999083 <br />UI UI I I I I U] <br />77852 SDT 14300-MAFO I Minerals Annual Fees <br />M1999-083 <br />Receipt #: 20410 <br />Date: 10/15/2015 <br />Permit: M1999083 <br />323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1