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Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 999077 <br />Montezuma County <br />000000000 <br />Receipt #: 18453 <br />11 <br />Date: ;1012412014 <br />Permit: M1999077 <br />ayment Md <br />-Petho <br />Revenue Cod <br />... -... ... _:..�.....�..�... ............. ........ ... ....... <br />gee f3escriptionlPaid:By_0tiier�Entityl <br />Amount <br />Minerals Annual Fees <br />... -077 <br />Receipt Total: 1 $791.00 j <br />Page 1 of 1 <br />