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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000084 <br />Washington County <br />Receipt #: <br />Date: <br />Permit: <br />6241 <br />07/29/2009 <br />M2000084 <br />000000000 <br />52735 1 4300-01 1 Minerals Annual Fees <br />M-2000-084 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1