2016-11-08_REPORT - M2009074

• Permit No: M2009074
• IBM Index Class Name: REPORT
• Doc Date: 11/8/2016
• Doc Name: Annual Fee/Report/Map
• From: The Orr Pit
• To: DRMS
• Annual Report Year: 2016
• Email Name: ERR
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M2009074
Colorado Backhoe Service Receipt#: 22502
Thomas Joseph Date: 11/14/2016
25193 South Road
Permit: M2009074
Pueblo CO 810060000
Check#5772 4300-MAFO Minerals Annual Fees $323.00
Due 11/5/16
Receipt Total: $323.00
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