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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2O21O15 <br /> Kiowa County Receipt#: 33874 <br /> Tina Adamson Date: 03/02/2021 <br /> 1305 Goff Street <br /> PO Box 100 Permit: M2021015 <br /> Eads CO 810360000 <br /> MethodPayment Revenue Code • • <br /> Check#100407 4300-MAPP Minerals Application Fees $2,696.00 <br /> User: SDT <br /> Receipt Total: $2,696.00 <br /> Page 1 of 1 <br />