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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1991074 <br /> Kiowa County Receipt#: 25408 <br /> Jack Howard Date: 10/18/2017 <br /> P.O. Box 100 <br /> Permit: M1991074 <br /> Eads CO 810360000 <br /> Payment Method Revenue Code Fee Description/Notes Amount <br /> Check#093703 4300-MAFO Minerals Annual Fees $791.00 <br /> User: MSR <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />