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Las Animas County <br />Division of Reclamation, Mining, and Safety <br />Fee Recei pt for M 1997100 <br />[IIIiII I I IIII7 <br />Receipt #: 19303 <br />Date: 04/13/2015 <br />Permit: M1997100 <br />Method Payment <br />Revenue Code <br />26375 msr <br />4300 -MAMD <br />Minerals Amendment Fees <br />M 1997 -100 <br />$2,229.00 <br />Receipt Total: <br />$2,229.00 <br />Page 1 of 1 <br />