2020-12-28_REVISION - M1985184

• Permit No: M1985184
• IBM Index Class Name: REVISION
• Doc Date: 12/28/2020
• Doc Name: Request for Technical Revision
• From: Bivens Trucking & Excavating, Inc.
• To: DRMS
• Type & Sequence: TR2
• Email Name: AME
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

�• TELESTO SOLUTIONS INC.
Permit #� 14001-1985-184
3801 AUTOMATION WAY SUITE 201 Receipt #33551 ANB BANK
FORT COWNS,CO 80525 82-123.11070
12/22/2020
Cp
PAY TO
O
s
ORDER THE Colorado Division of Reclamation, Mining, and Safety $ 216.00
OF
Two Hundred Sixteen and 00/100 Dollars 3
DOLLARS z
Colorado Division of Reclamation, Mining, and Safety
1313 Sherman, Room 215 8
Denver. CO 80203
MEMO A01`1-401111ED W#AnUFW