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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006076 <br />Receipt #: 18809 <br />Date: 01/14/2015 <br />Permit: M2006076 <br />Method Payment <br />Revenue Code <br />412569 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M2006 -076 <br />$791.00 <br />Receipt Total: <br />$791.00 <br />Page 1 of 1 <br />