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Prowers County <br />000000000 <br />Payment Method Revenue Code Fee Description /Notes <br />Amount <br />41172 <br />4300 -01 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002062 <br />Minerals Annual Fees <br />M- 2002 -062 <br />Receipt #: 11615 <br />Date: 10/17/2011 <br />Permit: M2002062 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />