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Baca County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977479 <br />109114 14300-01 1 Minerals Annual Fees <br />M- 1977 -479, CMB <br />Receipt #: 15867 <br />Date: 08/27/2013 <br />Permit: M1977479 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />