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Routt County <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1979058 <br />Receipt #: 14920 <br />Date: 04/03/2013 <br />Permit: M1979058 <br />Payment Method <br />Revenue Code <br />FeeDescription /Notes Amount <br />208785 jwd <br />4300 -01 <br />Minerals Annual Fees <br />M- 1979 -058 <br />$791.00 <br />Receipt Total: I $791.00 <br />Page 1 of 1 <br />