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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978085 <br />Moffat County <br />000000000 <br />Receipt #: 20659 <br />Date: 12/02/2015 <br />Permit: M1978085 <br />Payment Method Revenue C{ <br />sc iption/Notes ;. <br />oun <br />415622 SDT <br />4300-MTRO <br />Minerals Technical Revision <br />M1978-085 <br />$216.00 <br />Receipt Total: <br />$216.00 <br />Page 1 of 1 <br />