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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2007076 <br />Cheyenne County <br />000000000 <br />73594 jwd 14300-11 1 Minerals Technical Revision <br />M- 2007 -076, plus 7 other sites <br />Al -/1'19 - 0�3 <br />Receipt #: <br />Date: <br />Permit: <br />15784 <br />08/13/2013 <br />M2007076 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1 <br />