2022-09-30_REVISION - M1987171 ‎(2)‎

• Permit No: M1987171
• IBM Index Class Name: Revision
• Doc Date: 9/30/2022
• Doc Name: Request For Succession Of Operator
• From: Kiewit Infrastructure Co.
• To: DRMS
• Type & Sequence: SO2
• Email Name: TC1
• Email Name: MAC
• Email Name: AWA
• Email Name: SMS
• Media Type: D
• Archive: No

Do not accept this check without presence of thermochromic ink spot.Turnover to clarify.Other security features listed on back.
2000844042 5213 2
9Kiewit
HSBC BANK USA, N.A.
452 Fifth Ave.
New York, NY 10018
Kiewit Infrastructure Co.
1550 Mike Fahey St Date 09/27/2022
Omaha, NE 68102-4722 Void After 180 Days
PAY ***ONE HUNDRED FORTY-FOUR USD and 00/100 "`" P"'1144.00"
TO THE STATE OF COLORADO DIV OF
ORDER RECLAMATION MINING & SAFETY
OF 1313 N SHERMAN ST STE 215
DENVER, CO 80203-2243
II' 200084404 2n, 1:0 2 1 3068 2 21: 79 7048 5 5 30
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