2013-09-20_REVISION - M1999042

• Permit No: M1999042
• IBM Index Class Name: REVISION
• Doc Date: 9/20/2013
• Doc Name: TC Fee- Balance
• From: Avalanche Creek/ Elbram Stone
• To: DRMS
• Type & Sequence: TC1
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1999
Avalanche Creek Marble & Alabaster LLC Receipt #: 16046
Date: 09/24/2013
Permit: M1999042
000000000
14- 741204104 j\ 4300 -12 Minerals Temporary Cessation $29.29
M- 1999 -042, Money Order Paid By Elbram Stone, TC Balance
Due.
Receipt Total: $29.29
Page 1 of 1