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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991073 <br /> Kiowa County Receipt#: 17679 <br /> Date: 06/24/2014 <br /> Permit: M1991073 <br /> 000000000 <br /> Payment . . : : ® : <br /> 084995 msr 4300-01 Minerals Annual Fees $323.00 <br /> M 1991-073 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />