2020-02-05_REVISION - M1999005

• Permit No: M1999005
• IBM Index Class Name: REVISION
• Doc Date: 2/5/2020
• Doc Name: Request for Technical Revision
• From: All Rite Paving & Redi Mix
• To: DRMS
• Type & Sequence: TR3
• Email Name: DC1
• Email Name: JLE
• Email Name: AWA
• Media Type: D
• Archive: No

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FREMONT PAVING&REDI-MIX,INC. ��jj``
y SUNFLOWER BANK,N.A.
!; P.O.BOX 841 q CANON CITY,CO 81215-0231
CANON CITY,CO 81215-084pe�it# hhm K o�
[phone] Receipt* 3a ol�..� 83-62/1011
103840
DATE AMOUNT
2/3/2020 *********216.00
THE SUM OF TWO HUNDRED SIXTEEN DOLLARS AND NO CENTS *********** " ********* ************
PAY
TO THE •
ORDER DRMS VOID - ' •ODAYS
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AUT ORIZED SIGNATURE