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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1983109 <br />Kiowa County <br />068383 <br />000000000 J <br />Revenue Code <br />4300-01 Minerals Annual Fees <br />M-1983-109 <br />Receipt #: <br />Date: <br />Permit: <br />6148 <br />07/16/2009 <br />M1983109 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1