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Las Animas County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006010 <br />Receipt #: 13183 <br />Date: 06/26/2012 <br />Permit: M2006010 <br />y E. <br />Payment Method Revenue Code <br />Fee DescriptionlNotes <br />Amount <br />17781 jwd <br />4300 -04 <br />Minerals Conversions <br />M- 2006 -010 <br />$2,696.00 <br />Receipt Total: I $2,696.00 <br />Page 1 of 1 <br />