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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981220 <br />San Miguel County <br />Receipt #: 20419 <br />Date: 10/15/2015 <br />Permit: M1981220 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />79737 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$791.00 <br />M1981-220 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />