2016-05-11_REPORT - M1996007

• Permit No: M1996007
• IBM Index Class Name: REPORT
• Doc Date: 5/11/2016
• Doc Name Note: Annual Fee ITA
• Doc Name: Annual Fee ITA
• From: Arkins Park Stone Corporation
• To: DRMS
• Email Name: MAC
• Media Type: D
• Archive: No

Internal Transaction Agreement(ITA) Page 1 of 1
Internal Transaction Agreement(ITA) Dept: HAAA ID: 20160000000000005609 Ver.: 1 Function: New Phase: Final
Modified by d little,05/11/2016
IHeader Si fc:I
— General Information
Document Name: Initiator:
CDOT ANNUAL FEES,SPRING n (Prorder'Se!e- V
CRK PASS,M1996-007,DUE v
Delivery Date:
Record Date:
Additional information:
Document Description: ANNUAL FEES OCT 2015
CDOT ANNUAL FEES,SPRING n
CRK PASS,M1996-007,DUE v
Actual Amount:
$791 00
— 1st Party Information
Vendor Customer: Vendor Contact ID:
Legal Name: Principal Contact:
Address Code: Phone:
Alias/DBA: Phone Extension:
Address Line 1: Fax Number:
Address Line 2: Fax Extension:
City: Email Address:
State: Web Address http://:
Zip:
Country:
County:
— Extended Description
Extended Description:
GIGI JOHNSON
303-866-3567 EXT 8149
— Document Information
Created By:
m.merkulov
Created On:
05/11/2016
Modified By:
d little
Modified On:
05/11/2016
https://codpa.hostams.com:1443/webapp/PRDFINIXI/advantage/Advantage/document to print.html 6/10/2016