2019-10-22_REPORT - M1994080

• Permit No: M1994080
• IBM Index Class Name: Report
• Doc Date: 10/22/2019
• Doc Name: Returned Annual Fee/Report
• From: DRMS
• To: Arkins Park Stone Corp.
• Annual Report Year: 2019
• Email Name: ECS
• Media Type: D
• Archive: No

ARKINS PARK STONE CORPORATION Wells Fargo Bank,N.A
5975 North County Road 27 Colorado 035447
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wa Isfargo corn
Loveland.Colorado 80538
[phone] Fax[phone]
10/7/2019
PAY TO THE CO Division of Reclamation, Mining&Safet $ **323.00
ORDER OF
Three Hundred Twenty-Three and
DOLLARS
CO DIV OF RECLAMATION, MINING&SAFETY
1313 SHERMAN STREET
PS.150:6"LET EVERYTHING THAT
ROOM 215 HATH BREATH PRAISE THE LORD"
DENVER, CO 80203 ' VOID AFT&R 180 DAYS =�9EN3iL l
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ARKINS PARK STONE CORPORATION 035447
CO Division of Reclamation, Mining&Safet 10/7/2019
Date Type Reference Original Amt. Balance Due Discount Payment
9/28/2019 Bill Berthoud Sunset 2019 323.00 323.00 323.00
Check Amount 323.00
Wells Fargo Permit M1994080 Annual Fee 323.00