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Yuma County Road and Bridge <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2011006 <br />Receipt #: 14726 <br />Date: 03/01/2013 <br />Permit: M2011006 <br />Payment Method Revenue Code <br />Fee Description/Notes <br />Amount <br />053384 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 2011 -006 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />