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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1994103 <br />Receipt #: <br />Date: <br />6021 <br />Costilla County <br />Permit: <br />000000000 <br />5448-mr1 ~ 4300-01 ~ Minerals Annual Fees <br />M-1994-103 <br />07/08/2009 <br />M1994103 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />