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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2004057 <br />Bent County <br />000000000 <br />Receipt #: 2190 <br />Date: 01 /02/2008 <br />Permit: M2004057 <br />p- o o G3~vo~~xa o o- boo Dc~c~r~ a o ~ /,~od~? <br />016173 4300-01 Minerals Annual Fees <br />M-2004-057, fees paid by Bent County $791.00 <br /> Receipt Total: $791.00 <br />Page 1 of 1 <br />