2016-11-21_REPORT - M1987159

• Permit No: M1987159
• IBM Index Class Name: REPORT
• Doc Date: 11/21/2016
• Doc Name: Annual Fee/Report/Map
• From: Guenzi S & G Pit
• To: DRMS
• Annual Report Year: 2016
• Email Name: ERR
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1 987159
(Logan County Receipt#: 22553
Rob Quint Date: 11/22/2016
315 Main St., Ste.2
Permit: M1987159
Sterling CO 807510000
Check#104805 4300-MAFO Minerals Annual Fees $791.00
Due 12/28/16
Receipt Total: $791.007
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