2016-07-15_REPORT - M1989024

• Permit No: M1989024
• IBM Index Class Name: REPORT
• Doc Date: 7/15/2016
• From: Shangri La Pit
• To: DRMS
• Annual Report Year: 2016
• Email Name: TOD
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1989024
Edward M.Yaklich Receipt#: 21823
Jeannette Yaklich-Houston Date: 07/15/2016
1180 County Road 129
Permit: M1989024
Westcliffe CO 812520000
MethodPayment Revenue Code • • • Amount
Check#1578 4300-MAFO Minerals Annual Fees $323.00
2016
Receipt Total: $323.00
Page 1 of 1