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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994118 <br />r <br />Fremont County <br />Receipt #: <br />Date: <br />Permit: <br />6242 <br />07/29/2009 <br />M1994118 <br />000000000 <br />092517 4300-01 Minerals Annual Fees $323.00 <br />M-1994-118 <br />Receipt Total: $323.00 <br />Page 1 of 1