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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984155 <br />01 <br />Dolores County <br />Receipt #: <br />Date: <br />Permit: <br />3798 <br />08/21/2008 <br />M1984155 <br />000000000 <br />61499 4300-01 Minerals Annual Fees <br />M-1984-155, fees paid by Dolores County Board of <br />Commissioners <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1