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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980239 <br />Moffat County <br />000000000 <br />328666 msr 14300-01 1 Minerals Annual Fees <br />Receipt #: <br />Date: <br />Permit: <br />16544 <br />12/19/2013 <br />M1980239 <br />$91.00 <br />Receipt Total: 1 $91.00 <br />Page 1 of 1 <br />