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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004021 <br />Washington County <br />000000000 <br />Receipt #: 3577 <br />Date: 07/18/2008 <br />Permit: M2004021 <br />ftwD g o a mi @@A@ IFG@ D? ??C a ' nGYu z <br />028388 4300-01 Minerals Annual Fees <br />M-2004-021 $791.00 <br /> <br /> Receipt Total: $791.00 <br />Page 1 of 1