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2016-08-03_REPORT - M2004037
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2016-08-03_REPORT - M2004037
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Entry Properties
Last modified
12/4/2020 6:25:04 AM
Creation date
8/4/2016 8:16:50 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2004037
IBM Index Class Name
Report
Doc Date
8/3/2016
Doc Name
Annual Fee/Report/Map
From
Everitt Pit
To
DRMS
Annual Report Year
2016
Email Name
ERR
Media Type
D
Archive
No
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: John M.Everitt <br /> Permittee Company: John M.Everitt <br /> Address: 24274 CR 17 <br /> Haxtun, CO 80731 <br /> Phone Number: (970)774-7508 <br /> Fax Number: <br /> Email Address: Johneveritt63@gmail.com <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 /> 0/ <br /> -Z -/� <br /> Signature ermittee, Corporate Officer,Owner,or Documented Designee Date <br /> M-AF-01 <br />
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