2021-05-06_REVISION - M1997058 ‎(4)‎

• Permit No: M1997058
• IBM Index Class Name: Revision
• Doc Date: 5/6/2021
• Doc Name: Receipt of Payment
• From: Hall-Irwin Corporation
• To: DRMS
• Type & Sequence: TR3
• Email Name: ECS
• Media Type: D
• Archive: No

Independent Financial 23-96/1020
754075604 '
HALL-IRWIN 301 Centennial Drive CO 80543
Milliken
970 587-7200 _
W q70 S`84'
Pernik# Y�rl2992 a
Receipt J�G
***Two Hundred Sixteen Dollars and 00 Cents*** o
d
DATE AMOUNT b
PAY Colorado Division of Reclamation, Mining & Safety May 05/21 $216.00
TO THE
ORDER 1313 Sherman Street, Room 215
OF: Denver, CO 80203 8
-By45£Un!£* 7t303