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Kiowa County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983116 <br />085164 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1983 -116 <br />Receipt #: <br />Date: <br />Permit: <br />17863 <br />07/22/2014 <br />M1983116 <br />$323.00 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />