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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978192 <br />Chaffee County <br />000000000 <br />133107 jwd 4300 -01 1 Minerals Annual Fees <br />M- 1978 -192 <br />Receipt # <br />Date <br />Permit: <br />15369 <br />06/12/2013 <br />M1978192 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />