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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981154 <br />Receipt #: <br />Date: <br />1924 <br />San Miguel County <br />Permit: <br />000000000 <br />053573 14300-01 I Minerals Annual Fees <br />M-1981-154 <br />11 /09/2007 <br />M1981154 <br />$791.00 <br />Receipt Total: $791.00 <br />~~' <br />i <br />r <br /> <br />Page 1 of 1 <br />