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Prowers County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984134 <br />//1111111 <br />Receipt #: 20133 <br />Date: 08/21/2015 <br />Permit: M1984134 <br />ayment MethodIRevenue <br />Code <br />Fee Description/Notes <br />Amount <br />Minerals Annual Feesof <br />984-134 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />