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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 998047 <br />,1WI11I11I, <br />5426 14300-01 1 Minerals Annual Fees <br />M- 1978- 135HR, CMB <br />Receipt #: <br />Date: <br />Permit: <br />Wz1-111 <br />09/13/2013 <br />M1998047 <br />$259.00 <br />Receipt Total: 1 $259.00 <br />Page 1 of 1 <br />