2016-11-10_REPORT - M1977098

• Permit No: M1977098
• IBM Index Class Name: REPORT
• Doc Date: 11/10/2016
• Doc Name: Annual Fee/Report/Map
• From: Sievers Pit
• To: DRMS
• Annual Report Year: 2016
• Email Name: ACY
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1977098
Oldcastle SW Group, Inc. dba United Compan Receipt#: 22489
Jason Burkey Date: 11/10/2016
2273 River Road
Permit: M1977098
Grand Junction CO 815020000
Check#2186100 4300-MAFO Minerals Annual Fees $791.00
Due 11/15/16
Receipt Total: $791.00
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