2016-11-29_REPORT - M1983175

• Permit No: M1983175
• IBM Index Class Name: Report
• Doc Date: 11/29/2016
• Doc Name: Annual Fee/Report/Map
• From: Southwest Ready-Mix, Inc.
• To: DRMS
• Annual Report Year: 2016
• Email Name: SJM
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1983175
Southwest Ready-Mix, Inc. Receipt#: 22586
Ralph Martinez Date: 11/29/2016
117 White Pine Dr.
Permit: M1983175
Alamosa CO 811010000
Check#34902 4300-MAFO Minerals Annual Fees $791.00
Due 11/25/16
Receipt Total: $791.00
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