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Moffat Limestone Co. Inc. <br />Division of Reclamation, Mining, and Safety <br />110111110 <br />Fee Receipt for M2003073 <br />1177 14300-01 1 Minerals Annual Fees <br />M- 2003 -073, CMB <br />Receipt #: <br />15653 <br />Date: <br />07/23/2013 <br />Permit: <br />M2003073 <br />$791.00 <br />Receipt Total: 1 $791.001 <br />Page 1 of 1 <br />