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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991069 <br />(Kit Carson County <br />Receipt #: <br />Date: <br />Permit: <br />8637 <br />07/19/2010 <br />M1991069 <br />000000000 <br />51003 4300-02 Minerals Application Fees <br />M-1991-069 <br />$323.00 <br />Receipt Total: $323.00 <br />Page 1 of 1