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Yuma County Road and Bridge <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2009070 <br />Receipt #: 13962 <br />Date: 10/19/2012 <br />Permit: M2009070 <br />Payment Method Revenue Code <br />Fee Description /Notes <br />Amount <br />052250 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2009 -070 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />