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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983177 <br />Receipt #: <br />Date: <br />Permit: <br />4181 <br />10/14/2008 <br />M1983177 <br />Bent County <br />000000000 <br />pig)f 4? o "0 I-N SIC--'w@ 0 0 {?Y00 ?o G? o o U ? a) <br />017473 4300-01 Minerals Annual Fees $323.00 <br />M-1983-177 <br />017473 4300-01 Minerals Annual Fees $791.00 <br />M-1983-178 <br />017473 4300-01 Minerals Annual Fees $791.00 <br />M-1983-180 <br />Receipt Total: $1,905.00 <br />Page 1 of 1