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Park County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980019 <br />Receipt #: 15076 <br />Date: 04/25/2013 <br />Permit: M1980019 <br />015469 4300 -01 1 Minerals Annual Fees 1 $323.00 <br />M- 1980 -019, CMB <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />