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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1999033 <br /> Fremont County Receipt#: 21302 <br /> Date: 04/15/2016 <br /> Permit: M1999033 <br /> 000000000 <br /> MethodPayment Revenue Code Description/Notes Amount <br /> 111920 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M1999-033 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />