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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991078 <br /> Kiowa County Receipt#: 22882 <br /> Rick Spady Date: 02/02/2017 <br /> P.O. Box 100 <br /> Permit: M1991078 <br /> Eads CO 810360000 <br /> Payment Method Revenue Code Foe�:Description/Paid By Other Entityll�64es Amount <br /> Check#091993 4300-MAFO Minerals Annual Fees $791.00 <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />