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Baca County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2003070 <br />Receipt #: 14355 <br />Date: 01/07/2013 <br />Permit: M2003070 <br />P ayment <br />ethod ,, Revenue Code <br />e escriptiontNote <br />nun <br />106994 <br />4300 -01 <br />Minerals Annual Fees <br />M- 2003 -070, CMB <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />