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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995063 <br />Logan County <br />000000000 <br />80493 I 4300-04 I Minerals Conversions <br />M-1995-063 <br />Receipt #: <br />Date: <br />Permit: <br />5135 <br />03/13/2009 <br />M1995063 <br />$2,696.00 <br />Receipt Total: $2,696.00 <br />Page 1 of 1