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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987097 <br />Conejos County <br />Receipt #: <br />1171 <br />08/09/2007 <br />000000000 <br />Date: <br />Permit: <br />M1987097 <br />28653 ~ 4300-01 ~ Minerals Annual Fees ~ $323.00 <br />M-1987-097 <br />Total: ~ $323.00 <br />Page 1 of 1 <br />