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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1989030 <br />San Miguel County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />19345 <br />04/16/2015 <br />M1989030 <br />ayment Method <br />enue Code <br />ee Description /Notes <br />Minerals Annual Fees <br />•:• <br />• 11 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />