2018-09-10_REVISION - M1974070 ‎(12)‎

• Permit No: M1974070
• IBM Index Class Name: REVISION
• Doc Date: 9/10/2018
• Doc Name: Notice of Decision
• From: Lafarge
• To: DRMS
• Email Name: PSH
• Media Type: D
• Archive: No

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� Division of Reclamation,
Mining and Safety
1313 Sherman Street, Room 215
Denver, CO 80203
DATE: September 12, 2018
TO: Administrative Services
Accounting
FROM: Barbara Coria
RE: REQUEST FOR REFUND OF CASH BOND
Request Warrant Payable to Colorado Blue Ventures, Third party for Donald J. Self, cash bond refund
amount of$8000.00 plus interest from Fund 9000, Cash Account 1100, Agency PKAA, BS Account
2730.
Amount Deposited: $8000.00 Date: 07/ 18/2017 Doc.ID. 2018000000000000006
Approved By:
DIVISION OF RECLAMATION, MINING AND SAFETY INFORMATION ONLY:
Permittee/Operator: Donald J Self:
Payee to Third Party Bond By : Colorado Blue Ventures
Address: 1851 McBain Ave, San Jose, CA 95125
File No.: M-2016-002
Warrant Received: Warrant No.:
1313 Sherman Street, Room 215, Denver, CO 80203 P 303.866.3567 F 303.832.8106 http://mining.state.co.us
John W. Hickenlooper, Governor I Robert W. Randall, Executive Director I Virginia Brannon, Director