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Bent County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001019 <br />027307 SMS 14300-01 1 Minerals Annual Fees <br />M2001 -019 <br />Receipt #: <br />Date: <br />Permit <br />drKIr-I <br />05/27/2014 <br />M2001019 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />