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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999040 <br />Rio Blanco County <br />Receipt #: <br />Date: <br />Permit: <br />5610 <br />05/14/2009 <br />M1999040 <br />000000000 <br />126799-mr1 14300-01 1 Minerals Annual Fees <br />M-1999-040 <br />$323.00 <br />Receipt Total: <br /> <br />$323.00 <br />Page 1 of 1