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Costilla County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994103 <br />111111111 <br />Receipt #: 19747 <br />Date: 06/18/2015 <br />Permit: M1994103 <br />_.all- <br />..Description/Notes <br />10319 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />M1994-103 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />