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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2010075 <br />Washington County Road and Bridge Departn I <br />Receipt #: <br />Date: <br />Permit: <br />9404 <br />11/18/2010 <br />M2010075 <br />000000000 <br />56568 14300-02 1 Minerals Application Fees <br />M-2010-075 <br />$1,258.00 <br />Receipt Total: $1,258.00 <br />Page 1 of 1