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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2000040 <br /> Medicine Bow - Routt National Forest USDA F Receipt#: 17908 <br /> Date: 07/29/2014 <br /> Permit: M2000040 <br /> 000000000 <br /> Methodigayment Fee Description/Notes <br /> 1201 msr 4300-MAFO Minerals Annual Fees $323.00 <br /> M2000-040 paid by Tahna L Naylor USDA FS <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />