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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2006076 <br />Moffat County Road Dept. <br />FIIITII0 <br />316089 -mr1 1 4300 -01 <br />Minerals Annual Fees <br />M- 2006 -076 <br />Receipt #: <br />Date: <br />Permit: <br />7253 <br />01/04/2010 <br />M2006076 <br />$791.00 <br />Receipt Total: $791.00 <br />Page 1 of 1 <br />