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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977387 <br />Prowers County <br />1110111 � <br />36261 <br />4300 -01 1 Minerals Annual Fees <br />M- 1977 -387 <br />Receipt #: 7153 <br />Date: 12/15/2009 <br />Permit: M1977387 <br />$791.00 <br />I Receipt Total: 1 $791.001 <br />Page 1 of 1 <br />