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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977283 <br />r <br />Adams County <br />Receipt #: <br />Date: <br />Permit: <br />9714 <br />01/10/2011 <br />M1977283 <br />000000000 <br />600511 14300-01 1 Minerals Annual Fees <br />M-1977-283 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />