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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1981154 <br />San Miguel County <br />Receipt #: 4161 <br />Date: 10/14/2008 <br />Permit: M1981154 <br />000000000 <br />057533-mr1 <br />4300-01 Minerals Annual Fees <br />M-1981-154 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1