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11 ,inocJ f-ec%- <br />rj,-) reps r+ of <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977575 <br />LaPlata County <br />000000000 <br />382711 SMS 14300-01 1 Minerals Annual Fees <br />M 1977 -575 <br />Receipt #: <br />Date: <br />Permit: <br />17084 <br />03/25/2014 <br />M1977575 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />