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Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978225L <br />Receipt #: 12589 <br />Date: 03/28/2012 <br />Permit: M1978225L <br />Method Payment <br />Revenue Code <br />104621 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1978 -225, CMB <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />