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Las Animas County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2001015 <br />Receipt #: 12802 <br />Date: 04/26/2012 <br />Permit: M2001015 <br />Payment Method Revenue Code <br />e Description /Notes <br />Amount <br />017961 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2001 -015, CMB <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />