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Moffat County Board of County Commissione <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011036 <br />Receipt #: 13843 <br />Date: 10/04/2012 <br />Permit: M2011036 <br />Payment Method <br />Revenue Code <br />Fee Description /Notes <br />ount <br />324658 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2011 -036 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />