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Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981138 <br />112288 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1981 -138 <br />Receipt #: <br />Date: <br />Permit: <br />17853 <br />07/22/2014 <br />M1981138 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />