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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980019 <br />Park County <br />000000000 <br />007965-mr1 14300-01 <br />Minerals Annual Fees <br />M-1980-019 <br />Receipt #: 10149 <br />Date: 03/18/2011 <br />Permit: M1980019 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1