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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991075 <br /> Kiowa County Receipt#: 22439 <br /> Allen Watts Date: 11/01/2016 <br /> P.O. Box 100 Permit: M1991075 <br /> Eads CO 810360000 <br /> 7 <br /> Check#091303 4300-MAFO Minerals Annual Fees $791.00 <br /> 2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />