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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978085 <br />111 IIITIM <br />Receipt #: 19458 <br />Date: 04/30/2015 <br />Permit: M1978085 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />413543 msr <br />4300 -MAFO <br />Minerals Annual Fees <br />M1978-085 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />