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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995027 <br />Receipt # <br />Date <br />8024 <br />Park County <br />Permit: <br />000000000 <br />4332 14300-01 1 Minerals Annual Fees <br />M-1995-027 <br />04/28/2010 <br />M1995027 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1