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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991078 <br />Kiowa County <br />Receipt #: <br />Date: <br />Permit: <br />10191 <br />03/24/2011 <br />M1991078 <br />000000000 <br />074849 4300-01 1 Minerals Annual Fees <br />M-1991-078 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />_... x ,,;... _.14d _ ?Y .. ?r_ _, ...... .?