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1 <br />Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977485 <br />000000000 <br />Receipt #: 13571 <br />Date: 08/27/2012 <br />Permit: M1977485 <br />Payment Method Revenue Code Fee Descrrption!Not <br />ou <br />105982 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1977 -485, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />