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Division of Reclamation, Mining, and Safety <br />Fee Receipt for MI 992007 <br />Moffat County <br />000000000 <br />Receipt #: <br />Date: <br />Permit: <br />7627 <br />03/01/2010 <br />M1992007 <br />316642-mr1 4300-01 Minerals Annual Fees $791.00 <br />M-1992-007 <br />Receipt Total: $791.00 <br />Page 1 of 1