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Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 995075 <br />Saguache County <br />000000000 <br />59573 jwd 14300-11 1 Minerals Technical Revision <br />M- 1995 -075, Int Status <br />Receipt #: <br />Date: <br />Permit: <br />15344 <br />06/04/2013 <br />M1995075 <br />$144.00 <br />Receipt Total: 1 $144.00 <br />Page 1 of 1 <br />