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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983177 <br />Bent County <br />Receipt #: <br />Date: <br />Permit: <br />6828 <br />10/15/2009 <br />Ml-983177 <br />000000000 <br />19257 4300-01 Minerals Annual Fees <br />M-1983-177 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1