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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983106 <br />Cheyenne County <br />Receipt #: <br />Date: <br />Permit: <br />8939 <br />09/02/2010 <br />M 1983106 <br />000000000 <br />67147 14300-01 1 Minerals Annual Fees <br />M-1983-106 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1