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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981138 <br />Baca County <br />000000000 <br />Receipt #: 3640 <br />Date: 07/25/2008 <br />Permit: M1981138 <br />Gtffi)?)O W99@9 Flo @@9-) 100 A <br />091888 4300-01 Minerals Annual Fees <br />M-1981-138 $323.00 <br /> <br />091888 4300-01 Minerals Annual Fees <br />M-1999-056 $323.00 <br /> Receipt Total: $646.00 <br />Page 1 of 1