2017-10-27_REVISION - M1981080 ‎(7)‎

• Permit No: M1981080
• IBM Index Class Name: REVISION
• Doc Date: 10/27/2017
• Doc Name Note: Request for Conversion
• From: Tezak
• To: DRMS
• Type & Sequence: CN1
• Email Name: TC1
• Email Name: WHE
• Media Type: D
• Archive: No

Division of Reclamation, Mining, and SafetyFee Receipt for M1981080
812230000COTexas Creek
6200 CR 37Mike Tezak Receipt #:10/27/201725459Date:M1981080Permit:
Tezak Stone & Aggregate Supply, Inc.
Fee Description/NotesRevenue CodePayment Method Amount
Check #17295 $2,696.004300-MCNV Minerals Conversions
User: sdtCN01
$2,696.00Receipt Total:
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