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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1978085 <br />Receipt #: <br />Date: <br />Permit: <br />4821 <br />01/30/2009 <br />M1978085 <br />Moffat County <br />000000000 <br />313174-mr1 4300-03 Minerals Amendment Fees <br />M-1978-085 <br />$2,229.00 <br />Receipt Total: $2,229.00 <br />Page 1 of 1