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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987019 <br />Rio Grande County <br />Receipt #: <br />Date: <br />Permit: <br />10101 <br />03/11/2011 <br />M 1987019 <br />000000000 <br />133013-mr1 14300-01 1 Minerals Annual Fees <br />M-1987-019 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1