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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M1988087 <br />811010000COAlamosa <br />117 White Pine Dr <br />Ralph Martinez <br />Receipt #: <br />07/18/2016 <br />21826 <br />Date: <br />M1988087Permit: <br />Southway Construction Company, Inc. <br />Fee Description/NotesRevenue CodePayment Method Amount <br />Check #21224 $323.005700Minerals Civil Penalty/Violation Fines <br />$323.00Receipt Total: <br />Page 1 of 1