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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2012010 <br />Las Animas County <br />000000000 <br />Receipt #: <br />Date: <br />Permit <br />19728 <br />06/16/2015 <br />M2012010 <br />Payment Method Revenue Cod' Fee Description/Notes Amount , <br />26817 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M2012-010 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />