2016-10-28_REPORT - M1977193

• Permit No: M1977193
• IBM Index Class Name: REPORT
• Doc Date: 10/28/2016
• Doc Name: Annual Fee/Report/Map
• From: T.H.E. Aggregate Source
• To: DRMS
• Annual Report Year: 2016
• Email Name: TC1
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1977193
Tezak Heavy Equipment Co. Inc. Receipt#: 22432
Randy DiLuzio Date: 10/31/2016
205 Tunnel Dr.
Permit: M1977193
Canon City CO 812120000
Check#044442 4300-MAFO Minerals Annual Fees $791.00
Due 11/22/16
Receipt Total: $791.00
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