2016-11-16_REVISION - M1987049

• Permit No: M1987049
• IBM Index Class Name: REVISION
• Doc Date: 11/16/2016
• Doc Name: Request for Technical Revision
• From: Bronley Lakes
• To: DRMS
• Type & Sequence: TR7
• Email Name: ECS
• Email Name: WHE
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1987049
Ready Mixed Concrete Company Receipt#: 22529
Joe Lamanna Date: 11/16/2016
11778 Highway 52 Permit: M1987049
Fort Lupton CO 806210000
Check#35515 4300-MTRO Minerals Technical Revision $216.00
TR07
Receipt Total: $216.00
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