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Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 978066 <br />Rio Grande County <br />Receipt #: <br />Date: <br />Permit: <br />6842 <br />10/16/2009 <br />M1978066 <br />000000000 <br />I129659-mrl I 4300-01 I MMnerals I 1978-066 Annual Fees <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1