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Division of Reclamation, Mini , and Safety <br />Fee Receipt for 1979216 <br />Fremont County <br />000000000 <br />Receipt #: 4570 <br />Date: 12/29/2008 <br />Permit: M1979216 <br />Method Payment <br />090286 Revenue .Code <br />4300-01 Fee Description/Notes <br />Minerals Annual Fees <br />M-1979-216 Amount <br />$323.00 <br /> <br />090286 4300-01 Minerals Annual Fees <br />M-1984-117 $323.00 <br /> <br />090286 4300-01 Minerals Annual Fees <br />M-1986-010 $791.00 <br /> <br />090286 4300-01 Minerals Annual Fees <br />M-1990-047 $323.00 <br /> <br />090286 4300-01 Minerals Annual Fees <br />M-1990-138 $323.00 <br /> Receipt Total: $2,083.00 <br />Page 1 of 1