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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999048 <br />Moffat County <br />414202 msr 14300-MAFO I Minerals Annual Fees <br />M1999-048 <br />Receipt #: <br />Date: <br />Permit: <br />19996 <br />07/31/2015 <br />M1999048 <br />$791.00 <br />Receipt Total: 1 $791.00 <br />Page 1 of 1 <br />