2016-10-03_REVISION - M1978009

• Permit No: M1978009
• IBM Index Class Name: REVISION
• Doc Date: 10/3/2016
• Doc Name: Request for Technical Revision
• From: General Shale Brick, Inc.
• To: DRMS
• Type & Sequence: TR2
• Email Name: TC1
• Email Name: WHE
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1978009
General Shale Brick, Inc. Receipt#: 22313
Harold Stickler Date: 10/11/2016
1845 W. Dartmouth Ave. Permit: M 1978009
Denver CO 801101308
Check#0091879: 4300-MTRO Minerals Technical Revision $216.00
TR02
Receipt Total: $216.00
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