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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987019 <br />Rio Grande County <br />000000000 <br />Receipt #: <br />Date: <br />Permit <br />17050 <br />03/21/2014 <br />M1987019 <br />Method Payment <br />Revenue Code <br />139935 SMS <br />4300 -01 <br />Minerals Annual Fees <br />M1987-019 <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />