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Kit Carson County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1982186 <br />Receipt #: 11727 <br />Date: 11/07/2011 <br />Permit: M1982186 <br />Payment Method Revenue Code Fee Description /Notes <br />Amount <br />102259 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1982 -186 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />