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11 <br />San Miguel County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981154 <br />Om <br />79737 SDT 4300-MAFO Minerals Annual Fees <br />M1981-154 <br />Receipt #: <br />Date: <br />Permit: <br />20418 <br />10/15/2015 <br />M1981154 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />