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Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 980233 <br />Receipt #: <br />Date: <br />7175 <br />Costilla County <br />Permit: <br />5871 -mr1 14300-01 1 Minerals Annual Fees <br />M- 1980 -233 <br />12/18/2009 <br />M1980233 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />