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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1989112 <br /> Moffat County Receipt#: 20643 <br /> Date: 11/30/2015 <br /> Permit: M1989112 <br /> 000000000 <br /> PaymentMethodRevenue Code Fee Description/Notes <br /> 415511 SDT 4300-MAFO Minerals Annual Fees $323.00 <br /> M1989-112 <br /> Receipt Total: $323.00 <br /> Page 1 of 1 <br />