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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006076 <br />399208 kja 4300 -01 1 Minerals Annual Fees <br />M2006 -076 <br />Receipt #: <br />Date: <br />Permit <br />16764 <br />01/29/2014 <br />M2006076 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />