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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010075 <br />Washington County <br />000000000 <br />Receipt #: 21021 <br />Date: 02/25/2016 <br />Permit: M2010075 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />81204 msr <br />4300-MAFO <br />Minerals Annual Fees <br />M2010-075 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />