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Yuma County Road & Bridge <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011042 <br />Receipt #: 11166 <br />Date: 08/12/2011 <br />Permit: M2011042 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />048792 <br />4300 -02 <br />Minerals Application Fees <br />M- 2011 -042 <br />$2,696.00 <br />Receipt Total: I $2,696.00 <br />Page 1 of 1 <br />