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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980233 <br />Receipt #: <br />Date: <br />Permit: <br />4868 <br />02/05/2009 <br />M1980233 <br />Costilla County <br />000000000 <br />5141-mr1 I 4300-01 I Minerals Annual Fees <br />M-1980-233 <br />$323.00 <br />Receipt Total <br />$323.00 <br />Page 1 of 1