2020-02-13_REVISION - M1990112

• Permit No: M1990112
• IBM Index Class Name: REVISION
• Doc Date: 2/13/2020
• Doc Name: Request for Technical Revision
• From: Fremont Paving and Redi Mix, Inc.
• To: DRMS
• Type & Sequence: TR3
• Email Name: JPL
• Email Name: JLE
• Media Type: D
• Archive: No

FREMONT PAVING&REDI-MIX,INC. SUNFLOWER BANK,N.A.
P.O.BOX 841 CANON CITY,CO 81215-0231
CANON CITY,CO 81215-0841
(719)275.32" 'q �]-*-l� 83-62/1011
r� moq I 103951
pe�� vp"A7� DATE AMOUNT
Reool� 3 0
2/10/2020 **********432.00
THE SUM OF FOUR HUNDRED THIRTY TWO DOLLARS AND NO CENTS *******************************
PAY
TO THE
ORDER DRMS VOID AFT 0 DAYS 8
OF
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AUTHORIZ NATURE