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2015-12-19_REPORT - M2003072
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2015-12-19_REPORT - M2003072
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Last modified
9/12/2020 4:41:27 PM
Creation date
2/12/2016 10:01:30 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2003072
IBM Index Class Name
Report
Doc Date
12/19/2015
Doc Name
Annual Fee, Report & Map
From
Micheal Browning
To
DRMS
Email Name
AME
Media Type
D
Archive
No
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Page 5 of 5 <br /> Division records indicate the following permittee contact information. If this information is not current,please type or print <br /> current contact information: <br /> Permittee Contact: Michael Browning <br /> Permittee Company: Michael Browning <br /> Address: 16503 CR 31.9 <br /> Weston,CO 81091 <br /> Phone Number: (719)859-4298 <br /> Fax Number: <br /> Email Address: <br /> I,the undersigned,hereby state that the information provided in this report is true and accurate,and that site operations are <br /> being conducted in accordance with the Division approved mining and reclamation plans. <br /> i G <br /> Sign tore of Permittee Cor orat Of cer,Owner,or Documented Designee Date <br /> M-AF-01 <br />
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