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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1995026 <br />Custer County <br />000000000 <br />52869 jwd 14300-01 1 Minerals Annual Fees <br />M- 1995 -026 <br />Receipt #: <br />Date: <br />Permit: <br />15737 <br />08/06/2013 <br />M1995026 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />