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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987097 <br />r <br />Conejos County <br />Receipt #: <br />Date: <br />Permit: <br />8780 <br />08/09/2010 <br />M1987097 <br />000000000 <br />030809-mr1 14300-01 1 Minerals Annual Fees <br />M-1987-097 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1