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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1999048 <br />Receipt #: <br />1398 <br />Moffat County <br />000000000 <br />308205 14300-01 I Minerals Annual Fees <br />M-1999-048, Balance Due <br />Date: <br />Permit: <br />08/31 /2007 <br />M1999048 <br />$103.00 <br />Total: ~ $103.00 <br />Page 1 of 1 <br />