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Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 977485 <br />Receipt #: 18139 <br />Date: 09/04/2014 <br />Permit: M1977485 <br />112705 msr 1 4300 -MAFO I Minerals Annual Fees 1 $791.00 <br />M1977-485 <br />I Receipt Total: 1 $791.001 <br />Page 1 of 1 <br />