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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1990148 <br />Kiowa County <br />Receipt #: 4435 <br />Date: 12/0112008 <br />Permit: M1990148 <br />000000000 <br />066163 14300-11 1 Minerals Technical Revision <br />M-1990-148 <br />$216.00 <br />Receipt Total: 1 $216.00 <br />Page 1 of 1