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Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 977044 <br />Costilla County <br />000000000 <br />Receipt #: 17143 <br />Date: 04/03/2014 <br />Permit: M1977044 <br />Pa�,nae�gt; ;et o - eue ue.Co a -, Fee _es,crm ion., MOW <br />s A ou <br />9330 SMS 14300-01 1 Minerals Annual Fees <br />M1977 -044 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />