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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983177 <br />Bent County <br />000000000 <br />028238 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1983 -177 <br />Receipt #: <br />Date: <br />Permit: <br />18502 <br />11/04/2014 <br />M1983177 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />