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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991073 <br /> Kiowa County Receipt#: 21692 <br /> Rick Spady Date: 06/22/2016 <br /> P.O. Box 100 <br /> Permit: M1991073 <br /> Eads CO 810360000 <br /> Payment • • Revenue Code • • Amount <br /> Check#090181 4300-MAFO Minerals Annual Fees $323.00 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />