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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999083 <br />Cheyenne County <br />000000000 <br />64968 <br />4300-01 1 Minerals Annual Fees <br />M-1999-083 <br />Receipt #: <br />Date: <br />Permit: <br />6563 <br />09/14/2009 <br />M1999083 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1