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Moffat County <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2005006 <br />IIIIIIIIIIIIIIII17 <br />Receipt #: 19748 <br />Date: 06/19/2015 <br />Permit: M2005006 <br />ayment MethodTRevenue <br />Code <br />, _-' Fee Description/Notes <br />Amount <br />11 1 <br />M2001-106 <br />• 11 <br />Receipt Total: I$791.00 <br />Page 1 of 1 <br />