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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M1998059 <br /> L 8• L Ready Mix Receipt#: 28020 <br /> Laurine Koellner Date: 01/18/2019 <br /> P.O. Box 218 Permit: M1998059 <br /> Haxtun CO 807310000 <br /> • • Revenue Code • • • Amount <br /> Check#6425 5700 Minerals Civil Penalty/Violation Fines $791.00 <br /> User: sdt <br /> Payer: Jonathan J. Bomba Kristina M. Bomba <br /> Infraction Number: MV2018043 <br /> Receipt Total: $791.00 <br /> Page 1 of 1 <br />