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2020-11-13_REPORT - M1980201
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2020-11-13_REPORT - M1980201
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Entry Properties
Last modified
12/19/2024 9:09:43 AM
Creation date
11/17/2020 8:02:49 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980201
IBM Index Class Name
Report
Doc Date
11/13/2020
Doc Name Note
Payment
Doc Name
Returned Annual Fee/Report
From
Mathias Concrete, Inc.
To
DRMS
Email Name
SJM
AWA
Media Type
D
Archive
No
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PE1 -%-1IT# M-1980-201 <br /> RECEIPT NUMBERS: 33428 & 33429 <br /> Sunflower Bank,N.A. aa5v,o,1 005154 <br /> First National 1870,a division of Sunflower Bank,N.A. <br /> P.D.Box 800 <br /> Salina,KS 67402-0800 DATE 11/13/2020 <br /> (888)827-5564 <br /> $PAY TO THE DIVISION OF RECLEMATION, MINING AND SAFTEY 816.00 <br /> ORDER OF <br /> K�x 9-#—;Wg A& <br /> DOLLARS <br /> 1-T .1 lu' <br /> This check may be subject to stop payment after 90 days.It lost,stolen,or destroyed.this check <br /> c.."o..ed <br /> or refunded for 90 days following date of issue.An Indemnifying bond may <br /> be required at that time and.tee Ill be assessed. <br /> c/Sro-.2 ol <br /> REMITTER MATHIAS CONCRETE 5 1 PA gm'/0 AUTHORIZED SIGNATURE <br />
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