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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003019 <br />Baca County <br />000000000 <br />Receipt #: 21228 <br />Date: 04/07/2016 <br />Permit: M2003019 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />118405 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />M2003-019 - Paid By: Baca County <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />