2021-06-28_REPORT - M2004017

• Permit No: M2004017
• IBM Index Class Name: Report
• Doc Date: 6/28/2021
• Doc Name Note: ‎(RETURNED CHECK)‎
• Doc Name: Annual Fee/Report/Map
• From: DRMS
• To: ESCO S&G
• Email Name: PSH
• Media Type: D
• Archive: No

ESCO CONSTRUCTION CO. UMB BANK,N.A. DATE CHECK NO.
P.O. BOX 2796 Kansas City, Missouri
4 EVERGREEN,COLORADO 80437 18-69/1010 05/28/21
[phone] 032548
32548
PAY "SEVEN HUNDRED NINETY-ONE AND XX/100 DOLLARS
''791.00
Division of Reclamation Mining
PAY 13r3 5'neny\&n Si u noN co.
TO
THE l� vzr,CD. $DZ03 -- - ----------
ORDER
OF
_7/_- THORIZED SIGNATURE