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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981220 <br />San Miguel County <br />Receipt #: <br />Date: <br />Permit: <br />1923 <br />11 /09/2007 <br />M1981220 <br />000000000 <br />053573 ~ 4300-01 ~ Minerals Annual Fees <br />M-1981-220 <br />$791.00 <br />Total: ~ $791.00 <br />Page 1 of 1 <br />