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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977283 <br />Adams County <br />000000000 <br />561128 1 4300-01 <br />Minerals Annual Fees <br />M-1977-283 <br />Receipt #: <br />Date: <br />Permit: <br />Receipt Total: <br />5018 <br />02/25/2009 <br />M1977283 <br />$791.00 <br />$791.00 <br />Page 1 of 1