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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1980239 <br />111111111 <br />Receipt #: 18630 <br />Date: 12/09/2014 <br />Permit: M1980239 <br />Payment Method <br />RevenuCod <br />Aj&gjjjjjgjWjj&Fee Description /Notes <br />Amount <br />• 11 1 <br />Minerals Annual Fees <br />•:1 • <br />• 11 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />