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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1984136 <br />Prowers County <br />000000000 <br />Receipt #: <br />20135 <br />Date: <br />08/21/2015 <br />Permit: <br />M1984136 <br />50732 SDT <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />M1984-136 <br />Receipt Total: $323.00 <br />Page 1 of 1 <br />