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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1996O89 <br /> Skoglund Excavating Inc. Receipt#: 22976 <br /> Kenneth Skoglund Date: 02/22/2017 <br /> 11 th and Broadway <br /> P.O. Box 209 Permit: M1996089 <br /> Moffat CO 811430000 <br /> Payment Method Revenue Code Fee Description/Paid By Other Entity/Notes Amount <br /> Check#3520 4300-MAFO Minerals Annual Fees $791.00 <br /> 2017 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />