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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001012 <br />Washington County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />5561 <br />05/07/2009 <br />M2001012 <br />52018 14300-01 <br />Minerals Annual Fees $791.00 <br />M-2001-012 <br />Receipt Total: $791.00 <br />Page 1 of 1