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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2002059 <br />Receipt #: 18286 <br />Date: 09/29/2014 <br />Permit: M2002059 <br />411646 msr I 4300 -MAFO I Minerals Annual Fees 1 $791.00 <br />M2002 -059 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />