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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003070 <br />Baca County <br />Receipt #: <br />Date: <br />Permit: <br />9598 <br />12/22/2010 <br />M2003070 <br />000000000 <br />100114 14300-01 1 Minerals Annual Fees <br />M-2003-070 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />