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Kit Carson County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991071 <br />111111111 <br />Receipt #: 20119 <br />Date: 08/19/2015 <br />Permit: M1991071 <br />Payment Method <br />Revenue Code <br />Fee Description/Notes <br />Amount <br />117415 msr11 <br />1'Minerals <br />Annual Fees11 <br />1991-071 <br />Receipt Total: 1 $323.00 <br />Page 1 of 1 <br />