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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2002059 <br /> Moffat County Receipt#: 22181 <br /> Linda DeRose Date: 09/16/2016 <br /> P.O. Box 667 <br /> Permit: M2002059 <br /> Craig CO 816260000 <br /> Check#418140 4300-MAFO Minerals Annual Fees $791.00 <br /> Due 10/1/2016 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />