2016-11-17_REPORT - M1977387

• Permit No: M1977387
• IBM Index Class Name: REPORT
• Doc Date: 11/17/2016
• Doc Name: Annual Fee/Report/Map
• From: Bates Pit
• To: DRMS
• Annual Report Year: 2016
• Email Name: AME
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1977387
Prowers County Receipt#: 22533
Mark Dorenkemp Date: 11/18/2016
109 E. Sherman St. Permit: M1977387
Lamar CO 810520000
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Check#53746 4300-MAFO Minerals Annual Fees $791.00
Due 12/01/16
Receipt Total: $791.00
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