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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1987097 <br /> Conejos County Receipt#: 1171 <br /> Date: 08/09/2007 <br /> Permit: M1987097 <br /> 000000000 <br /> MethodPayment Revenue Code Fee Descrii3tion/Notes Amount= <br /> 28653 4300-MAFO Minerals Annual Fees $323.00 <br /> M-1987-097 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />