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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991086 <br />Bent County <br />000000000 <br />Receipt #: 4005 <br />Date: 09/23/2008 <br />Permit: M1991086 <br />P G3w@Rdo F@@ Oct o Ginn n[ m <br />017325 4300-01 Minerals Annual Fees <br />M-1991-086 $791.00 <br /> <br />017325 4300-01 Minerals Annual Fees <br />M-2005-039 $791.00 <br /> <br /> Receipt Total: $1,582.00 <br />Page 1 of 1