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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2000033 <br />1111111/1 <br />Receipt #: 19459 <br />Date: 04/30/2015 <br />Permit: M2000033 <br />413543 msr 1 4300 -MAFO I Minerals Annual Fees 1 $791.00 <br />M2000 -033 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />