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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1982094 <br />Kit Carson County <br />000000000 <br />Receipt # <br />Date <br />Permit: <br />15247 <br />05/21/2013 <br />M1982094 <br />Method Payment <br />Revenue Code <br />. <br />Amount <br />108292 <br />4300 -01 <br />Minerals Annual Fees <br />M- 1982 -094, CMB <br />$323.00 <br />Receipt Total: <br />$323.00 <br />Page 1 of 1 <br />