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Division of Reclamation, Mining, and Safety <br /> Fee Receipt for M2015022 <br /> Lazy H Inc <br /> Receipt#: 30734 <br /> William Havengar Date: 12/27/2019 <br /> 34449 County Road 10 Permit: M2015022 <br /> Keenesburg CO 806430000 <br /> Check#27205 5700 Minerals Civil PenaltyNiolation Fines $504.00 <br /> User: sdt <br /> Infraction Number: MV2019021 <br /> Receipt Total: $504.00 <br /> Page 1 of 1 <br />