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Division of Reclamation, Mining, and Safety <br />Fremont County <br />Fee Receipt for M1986010 <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />98044 <br />4300-01 <br />Minerals Annual Fees <br />M-1986-010 <br />9796 <br />01/25/2011 <br />M1986010 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1