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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1998054 <br />Rio Blanco County <br />000000000 <br />Receipt #: 16167 <br />Date: 10/11/2013 <br />Permit: M1998054 <br />INEW ethod <br />Revenue Code <br />Fee Description /Notes <br />Amount,,.4 � <br />is I <br />Minerals Annual Fees <br />M-1998-054 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />