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Park County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997035 <br />016303 14300-01 1 Minerals Annual Fees <br />M- 1997 -035, CMB <br />Receipt # <br />Date <br />Permit: <br />15530 <br />07/05/2013 <br />M1997035 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />