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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991086 <br />Bent County <br />19111 <br />000000000 <br />Revenue .. <br />4300-01 Minerals Annual Fees <br />M-1991-086 <br />Receipt #: <br />Date: <br />Permit: <br />6560 <br />09/14/2009 <br />M1991086 <br />$791.00 <br />Receipt Total <br />$791.00 <br />Page 1 of 1