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Rio Blanco County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999040 <br />138178 14300-01 1 Minerals Annual Fees <br />M- 1999 -040, CMB <br />Receipt #: <br />Date: <br />Permit: <br />15287 <br />05/24/2013 <br />M1999040 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />