2016-12-15_REPORT - M2010062

• Permit No: M2010062
• IBM Index Class Name: REPORT
• Doc Date: 12/15/2016
• Doc Name: Annual Fee/Report/Map
• From: White Sand Gravel Pit #1
• To: DRMS
• Annual Report Year: 2016
• Email Name: AME
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M2010062
White Sand & Gravel, LLC Receipt#: 22669
Tim White Date: 12/15/2016
7 N St Road
Box 806 Permit: M2010062
QElkhart KS 679500000
K15'
Check#381 4300-MAFO Minerals Annual Fees $791.00
Chad L. Herron Brenda R. Herron
Due 12/115/16
Receipt Total: $791.00
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