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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978315 <br />el <br />Routt County <br />000000000 <br />188521-mr1 14300-01 <br />Minerals Annual Fees <br />M-1978-315 <br />Receipt #: <br />Date: <br />Permit: <br />6919 <br />10/28/2009 <br />M1978315 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1