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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991086 <br /> Bent County Receipt#: 18302 <br /> Date: 10/01/2014 <br /> Permit: M1991086 <br /> 000000000 <br /> MethodPayment Revenue Code <br /> 028065 msr 4300-MAFO Minerals Annual Fees $791.00 <br /> M1991-086 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />