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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003019 <br />Receipt #: <br />Date: <br />7806 <br />Baca County <br />Permit: <br />000000000 <br />97643 14300-01 1 Minerals Annual Fees <br />M-2003-019 <br />03/23/2010 <br />M2003019 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1