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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1987009 <br />Receipt #: <br />Date: <br />4853 <br />Prowers County <br />Permit: <br />000000000 <br />33913 1 4300-01 1 Minerals Annual Fees <br />M-1987-009 <br />02/03/2009 <br />M1987009 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1