2020-06-26_REVISION - M1977321

• Permit No: M1977321
• IBM Index Class Name: Revision
• Doc Date: 6/26/2020
• Doc Name: Request for Conversion of Permit
• From: Sunnit Brick & Tile Co.
• To: DRMS
• Type & Sequence: CN1
• Email Name: JPL
• Email Name: JLE
• Email Name: AWA
• Media Type: D
• Archive: No

THIS CHECK 11 r ­ o --- -
i I I THE PUEBLO BANK & TRUST CO. Check#155364 I
O, LJ PUEBLO,COLORADO VOID AFTER 180 DAYS
BRICK COMPANY
601 F.13th Street/Pueblo,CO 81001/ rr� � ��'`-n
Phone [phone] I FAX [phone]T[nw�z
Check Date Check Amount
05/21/2020 ***$********2,696.00
****TWO THOUSAND SIX HUNDRED NINETY SIX AND 0/100 US DOLLARS
PAY TO
THE
ORDER of Colorado Division of Reclamation,
Mining, & Safety I
. 1313 Sherman Street, Room 215
z
Denver, CO 80203