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Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2014045 <br />808130000COCripple Creek <br />P.O. Box 247 <br />Lance Barker <br />Receipt #: <br />11/09/2020 <br />33389 <br />Date: <br />M2014045Permit: <br />Mineral Mountain Gold, LLC <br />Fee Description/NotesRevenue CodePayment Method Amount <br />Check #2772 $5,000.005700Minerals Civil Penalty/Violation Fines <br />User: SDT <br />MV-2020-021 <br />$5,000.00Receipt Total: <br />Page 1 of 1