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Rio Grande Company <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979189 <br />Receipt #: 14419 <br />Date: 01/10/2013 <br />Permit: M1979189 <br />Payment Method Revenue Code <br />Fee Description /Notes <br />Amount <br />275024 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1979 -189 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />