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Gunnison County Public Works <br />000000000 <br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1991104 <br />Receipt #: 13565 <br />Date: 08/23/2012 <br />Permit: M1991104 <br />Payment Method Revenue Code <br />Fee Description /Notes Amount <br />111441 jwd <br />4300 -01 <br />Minerals Annual Fees v <br />4-1991 -104 <br />$323.00 <br />Receipt Total: I $323.00 <br />Page 1 of 1 <br />