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Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977484 <br />[1I1I1I1AId1I1i1, <br />Receipt #: 20218 <br />Date: 09/09/2015 <br />Permit: M1977484 <br />Payment Method <br />_,, ode <br />Fee Description/Notes <br />Amount <br />116392 SDT <br />Minerals Annual Fees <br />,;, <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />