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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003019 <br />Receipt #: <br />Date: <br />2823 <br />Baca County <br />Permit: <br />000000000 <br />090927 14300-01 I Minerals Annual Fees <br />M-2003-019, fees paid by Baca County <br />04/03/2008 <br />M2003019 <br />$323.00 <br />Receipt Total: ~ $323.00 <br />Page 1 of 1 <br />