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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978192 <br />r <br />Chaffee County <br />Receipt #: <br />Date: <br />Permit: <br />5661 <br />05/21/2009 <br />M1978192 <br />000000000 <br />110484-mr1 4300-01 Minerals Annual Fees <br />M-1978-192 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1