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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1997081 <br />Pueblo County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />16962 <br />03/03/2014 <br />M1997081 <br />Method Payment <br />Revenue Code <br />289384 SMS <br />4300 -01 <br />Minerals Annual Fees <br />M 1997 -081 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />