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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005039 <br />Bent County <br />Receipt #: <br />1s1s <br />10/01 /2007 <br />000000000 <br />Date: <br />Permit: M2005039 <br />015776 ~ 4300-01 ~ Minerals Annual Fees ~ $791.00 <br />M-2005-039 <br />Total: ~ $791.00 <br />Page 1 of 1 <br />