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2015-02-27_REPORT - M1977321
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2015-02-27_REPORT - M1977321
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Last modified
8/24/2016 5:57:47 PM
Creation date
2/27/2015 4:47:06 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977321
IBM Index Class Name
REPORT
Doc Date
2/27/2015
Doc Name
Annual Report Fee Map
From
Summit Brick & Tile Co.
To
DRMS
Email Name
TOD
Media Type
D
Archive
No
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) Division Of Reclamation 02/1312015 Check No. <br />Document No. Document Date <br />01/02/15 M- 1977 -321 01/02/15 <br />01/02/15 M- 1977 -322 01/02/15 <br />01/02/15 M- 1977 -324 01/02/15 <br />Amount <br />323.00 <br />323.00 <br />791.00 <br />Discount <br />------------ _ <br />— THIS _ IS VOID WITHOUT A COLORED BORDER AND BACKGROUND PLUS APKNIGHT & FINGERPRINT WATERMARK ON <br />�- -� - -�� -THE PUEBLO BANK & TRUST CO. <br />EPUEBLO, COLORADO <br />BRICK COMPANY <br />601 East 13th Street / PO Box 533 / Pueblo, CO 81002 <br />Phone 719- 542 -8278 / FAX 719- 542 -5243 <br />Check Date <br />02/13/2015 <br />*" *`ONE THOUSAND FOUR HUNDRED THIRTY SEVEN AND 0/100 DOLLARS <br />4Y TO <br />-1E <br />RDER OF Division Of Reclamation <br />Mining And Safety <br />1313 Sherman St Rm 215 <br />Denver, CO 80203 -2273 <br /> <br />Net Amount <br />323.00 <br />323.00 <br />791.00 <br />1,437.00 <br />Check # <br />VOID AFTER 180 DAYS <br />Check Amount <br />'1 ""'1,437.00 <br />
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