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Las Animas County i_ <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006010 <br />Receipt #: 13393 <br />ate: 07/26/2012 <br />Permit: M2006010 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />18639 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2006 -010 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />