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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983112 <br />Kiowa County <br />Allen Watts <br />P.O. Box 100 <br />Eads CO 810360000 <br />Receipt #: <br />Date: <br />Permit: <br />23880 <br />07/21/2017 <br />M1983112 <br />Page 1 of 1 <br />• <br />Check #/093127 <br />4300-MAFO <br />Minerals Annual Fees <br />$323.00 <br />User: MSR <br />2017 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />