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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991075 <br />Kiowa County <br />000000000 <br />069418 14300-01 Minerals Annual Fees <br />M-1991-075 <br />Receipt #: <br />Date: <br />Permit: <br />Receipt Total: <br />6862 <br />10/19/2009 <br />M1991075 <br />$791.00 <br />$791.00 <br />Page 1 of 1