2016-10-04_REPORT - M1999034

• Permit No: M1999034
• IBM Index Class Name: Report
• Doc Date: 10/4/2016
• Doc Name: Annual Fee/Report/Map
• From: Cooley Reservoir & Fulton Wildlife Area
• To: DRMS
• Annual Report Year: 2016
• Email Name: TOD
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1999034
Aggregate Industries -WCR, Inc. Receipt#: 22285
Connie Davis Date: 10/05/2016
1687 Cole Blvd., Ste. 300 Permit: M1999034
Golden CO 804010000
Check#4000105, 4300-MAFO Minerals Annual Fees $791.00
Due 9/9/16 - No Sig. Page
Receipt Total: $791.00
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