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Washington County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994077 <br />65177 14300-01 1 Minerals Annual Fees <br />M- 1994 -077, CMB <br />Receipt #: <br />Date: <br />Permit <br />15679 <br />07/26/2013 <br />M1994077 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />