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2016-06-24_M1978253_Annual Fee Notice ARCHIVE
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2016-06-24_M1978253_Annual Fee Notice ARCHIVE
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Entry Properties
Last modified
11/17/2020 10:57:01 PM
Creation date
6/24/2016 8:40:34 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978253A
IBM Index Class Name
Report
Doc Date
6/24/2016
Doc Name
Annual Fee Notice
From
DRMS
To
Colorado Department of Transportation
Annual Report Year
2016
Media Type
D
Archive
Yes
Tags
DRMS Re-OCR
Description:
Signifies Re-OCR Process Performed
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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: Gary DeWitt <br /> Permittee Company: Colorado Department of <br /> Transportation <br /> Address: 3971 W Service Rd <br /> Evans, CO 80620 <br /> Phone Number: (970)350-2379 <br /> Fax Number: (970)330-8513 <br /> Email Address: Gary.dewitt@state.co.us <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 /> Signature of Permittee, Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-04 <br />
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