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■ <br />Dolores County Road & Bridge Dept. <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2008020 <br />Receipt #: 13356 <br />Date: 07/20/2012 <br />Permit: M2008020 <br />Payment Method Revenue Code <br />Fee Description/Notes Amount <br />063354 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2008 -020 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />