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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1977387 <br /> Prowers County Receipt#: 20647 <br /> Date: 11/30/2015 <br /> Permit: M1977387 <br /> 000000000 <br /> 'ayme nt Method Revenue Code Fee Description/Notesmount <br /> 51377 SDT 4300-MAFO Minerals Annual Fees $791.00 <br /> M1977-387 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />