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2015-03-24_REPORT - M1977219 (2)
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2015-03-24_REPORT - M1977219 (2)
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Last modified
8/24/2016 5:58:41 PM
Creation date
3/27/2015 3:48:11 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1977219
IBM Index Class Name
REPORT
Doc Date
3/24/2015
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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D17925 Division Of Reclamation 03/2012015 Check No. <br />Document No. Document Date Amount Discount Net Amount <br />03/15 M- 1977 -219 03/19/15 791.00 791.00 <br />791.00 <br />--- -- - <br />THIS CHECK IS VOID WITHOUT A COLORED BORDER AND BACKGROUND PLUS A KNIGHT & FINGERPRINT WATERMARK ON THE BACK • HOLD AT ANGLE TO VIEW <br />® I r R i THE PUEBLO BANK & TRUST CO. Check # <br />V M 1 PUEBLO, COLORADO VOID AFTER 180 DAYS <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 Check Amount <br />03/20/2015 "--$ " " " " " " " "" "791.00 <br />" "" "SEVEN HUNDRED NINETY ONE AND 0/100 DOLLARS <br />AY TO <br />-IE <br />RIDER OF Division Of Reclamation <br />Mining And Safety p� <br />1313 Sherman St Rm 215 <br />Denver, CO 80203 -2273 <br /> <br />
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