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Kiowa County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991078 <br />086535 msr 1 4300 -MAFO I Minerals Annual Fees <br />M1991 -078 <br />Receipt #: <br />Date: <br />Permit: <br />18906 <br />01/30/2015 <br />M 1991078 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />