2021-06-30_PERMIT FILE - M2021044

• Permit No: M2021044
• IBM Index Class Name: Permit File
• Doc Date: 6/30/2021
• Doc Name: Application
• From: Fremont Paving & Redi-Mix
• To: DRMS
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Media Type: D
• Archive: No

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FREMONT PAVING&REDI-MIX,INC. SUNFLOWER BANK,N.A. l Sk 0 y09 i
P.O.BOX 841 FIRST NATIONAL 1870, '�
CANON CITY,CO 81215-0841 A DIVISION OF SUNFLOWER BANK,N.A.
[phone] 83-62/1011
perrnd# 109099
Receipt#
DATE AMOUNT
d
0
4!
4/9/2021 *********2,696.00 s
PAY THE SUM OF TWO THOUSAND SIX HUNDRED NINETY SIX DOLLARS AND NO CE * **************
U
TO THE
ORDER VOID 90 DAYS n
OF CO Div of Reclamation M&S L'J
1313 Sherman Street, Room 215
Denver, CO 80203
UTHORIZED SIGNATURE
Y