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<br />Division of Reclamation, Mining, and Safety <br />Fee Receipt for M2018029 <br />35894 <br />Receipt #: <br />White Wolf Construction & Landscaping, LLC <br />Bernard Montoya09/17/2021 <br />Date: <br />24541 Highway 12 <br />M2018029 <br />Permit: <br />TrinidadCO810820000 <br />Payment MethodRevenue CodeFee Description/NotesAmount <br />Check #20645700$200.00 <br />Minerals Civil Penalty/Violation Fines <br />User: SDT <br />Payer: Joseph B Montoya <br />MV2021013 <br />Receipt Total: <br />$200.00 <br />Page 1 of 1 <br />