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Cheyenne County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999083 <br />Receipt #: 13816 <br />Date: 10/01/2012 <br />Permit: M1999083 <br />ayment Method Revenue Code rt Fee Description/Notes <br />aunt <br />71720 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1999 -083, CMB <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />