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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978225L <br />r Baca County <br />Receipt #: <br />Date: <br />Permit: <br />10278 <br />04/07/2011 <br />M1978225L <br />000000000 <br />101028 4300-01 Minerals Annual Fees $791.00 <br />M-1978-225L <br />Receipt Total: $791.00 <br />Page 1 of 1