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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977387 <br />Prowers County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />18614 <br />12/03/2014 <br />M1977387 <br />Payment Method <br />Ava <br />���AMAscription/!Nlotes <br />Amount <br />48917 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M 1977 -387 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />