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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977136 <br />01 <br />Rio Blanco County <br />Receipt #: <br />Date: <br />9956 <br />02/23/2011 <br />M 1977136 <br />Permit: <br />000000000 <br />132048 14300-01 1 Minerals Annual Fees <br />M-1977-136 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1