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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991074 <br />Kiowa County <br />i <br />000000000 <br />73330 14300-01 I Minerals Annual Fees <br />M-1991-074 <br />Receipt #: <br />Date: <br />Permit: <br />9368 <br />11/08/2010 <br />M 1991074 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1