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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999077 <br />Montezuma County <br />000000000 <br />26552 KJA 14300-01 1 Minerals Annual Fees <br />M1999077 KJA <br />Receipt #: 16015 <br />Date: 09/23/2013 <br />Permit: M1999077 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />