2017-06-26_REPORT - M1999120

• Permit No: M1999120
• IBM Index Class Name: REPORT
• Doc Date: 6/26/2017
• Doc Name: Annual Fee/Report/Map
• From: L. G. Everist, Incorporated
• To: DRMS
• Annual Report Year: 2017
• Email Name: ECS
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and Safety
Fee Receipt for M1999120
L. G. Everist, Incorporated Receipt#: 23716
Lynn Shults Date: 06/26/2017
7321 E. 88th Ave., Ste 200 Permit: M1999120
Henderson CO 806400000
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Check#212720 4300-MAFO Minerals Annual Fees $791.00
User: sdt
Payer: L. G. Everist, Inc.
Due 6/1/17
Receipt Total: $791.00
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