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Jackson County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1977472 <br />Receipt #: 14350 <br />Date: 01/04/2013 <br />Permit: M1977472 <br />rPaY <br />ent <br />ethod Revenues -Code <br />Fe <br />Description /Note <br />A <br />un 1 <br />003068 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1977 -472 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />