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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983109 <br />r <br />Kiowa County <br />Receipt #: <br />Date: <br />Permit: <br />4436 <br />12/01/2008 <br />M1983109 <br />000000000 <br />066162 14300-11 1 Minerals Technical Revision <br />M-1983-109 <br />$216.00 <br />Receipt Total: $216.00 <br />Page 1 of 1