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Division of Reclamation, Mining, and Safety <br /> Fee Receipt,for M1989112 <br /> Moffat County Receipt#: 25655 <br /> Dan Miller Date: 12/04/2017 <br /> P.O. Box 667 <br /> Permit: M1989112 <br /> Craig CO 816260000 <br /> MethodPayment Revenue Code • <br /> Check#422048 4300-MAFO Minerals Annual Fees $791.00 <br /> User: sdt <br /> Due 12/8/17 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />