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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980112 <br />Rio Blanco County <br />000000000 <br />131541-mr1 <br />4300-03 1 Minerals Amendment Fees <br />M-1980-112 <br />Receipt #: <br />Date: <br />Permit: <br />9633 <br />01/03/2011 <br />M1980112 <br />$2,229.00 <br />Receipt Total: $?.,229.00 <br />Page 1 of 1