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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978170 <br />Delta County <br />Receipt #: <br />Date: <br />9263 <br />10/18/2010 <br />M1978170 <br />Permit: <br />000000000 <br />094919 14300-01 1 Minerals Annual Fees <br />M-1978-170 AHH <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1