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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990138 <br />r <br />Fremont County <br />93910 <br />000000000 J <br />Revenue .Code F, <br />4300-01 Minerals Annual Fees <br />M-1990-138 <br />Receipt #: <br />Date: <br />Permit: <br />7264 <br />01/05/2010 <br />M1990138 <br />$323.00 <br />Receipt Total <br />$323.00 <br />Page 1 of 1