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Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009002 <br />109560 jwd 14300-01 1 Minerals Annual Fees <br />M- 2009 -002 <br />Receipt #: <br />16150 <br />Date: <br />10/09/2013 <br />Permit: <br />M2009002 <br />$791.00 <br />Receipt Total: 1 $791.001 <br />Page 1 of 1 <br />