2016-10-18_REPORT - M1986123

• Permit No: M1986123
• IBM Index Class Name: REPORT
• Doc Date: 10/18/2016
• Doc Name: Annual Fee/Report/Map
• From: Kirtright Pit
• To: DRMS
• Annual Report Year: 2016
• Email Name: MAC
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1986123
Coulson Excavating Company, Inc. Receipt#: 22371
Richard Coulson Date: 10/18/2016
3609 North County Road 13
Permit: M1986123
Loveland CO 805380000
MethodPayment • Amount
Check#49988 4300-MAFO Minerals Annual Fees $791.00
Due 11/7/16-Incomplete Report
Receipt Total: $791.00
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