2015-01-12_REVISION - M1980183 ‎(5)‎

• Permit No: M1980183
• IBM Index Class Name: Revision
• Doc Date: 1/12/2015
• Doc Name: New Amendment Application
• From: Brannan Sand and Gravel Company, LLC
• To: DRMS
• Type & Sequence: AM3
• Email Name: TAK
• Email Name: TOD
• Media Type: D
• Archive: No

11 i\t%N 1 A N Wells Fargo Bank Ohio,NA. 56-382/412
""'' S a `'s'Y LA, 115 Hospital Drive
2500 East Brannan Way
Den ver,CO 80229 Van Wert,OH 45891 Date Check#, Amount
Denver,
303- 4-1231 01/12/15 0000348892 $2,229.00
***Two thousand two hundred twenty-nine and>or/100 Dollars***
PAY Colorado Division of Reclamation
TO THE Mining and Safety �'
ORDER 1313 Sherman Street Room 215 sE„,
OF: Denver,CO 80203 �,� I /
„w�fi
11'0000 34889 211' 1:04 1 20 38 241:96000 5 108 III'
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