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STATE OF COLORADO Page 1 of 2 <br /> ® Department of Natural Resources <br /> • ' *****IMPORTANT***** <br /> Number: PO,PKAA,202300003309 The order number and line number must appear on all <br /> Date: 8/11/22 invoices, packing slips, cartons, and correspondence. <br /> Description: • <br /> Indian Shadows Mine Reclamation BF Project DIVISION OF RECLAMATION, MINING AND <br /> SAFETY <br /> 1313 SHERMAN STREET, ROOM 215 <br /> Denver, CO 80203 <br /> Effective Date: 08/15/22 <br /> Ex iration Date: 08/25/22 <br /> BUYER SHIP TO <br /> Buyer: DIVISION OF RECLAMATION, MINING AND <br /> Email: SAFETY <br /> • ' 1313 SHERMAN STREET, ROOM 215 <br /> MCCOLLUMS EXCAVATING LLC Denver, CO 80203 <br /> PO BOX 790 <br /> NEDERLAND, CO 80466-0790 SHIPPING INSTRUCTIONS <br /> Delivery/Install Date: - <br /> Contact: Stephanie McCollum FOB: <br /> Phone: 3038885478 <br /> VENDOR INSTRUCTIONS <br /> DESCRIPTIONEXTENDED <br /> Indian Shadows Mine Permit#M-2007-048 <br /> This project is funded 100% through monies made available to the State of Colorado through revocation of bond <br /> monies retained by the Division of Reclamation, Mining and Safety for reclamation of this previously permitted <br /> mining operation. <br /> QTY Tota <br /> 96273 0 0.00 $40,100.00 ❑ <br /> Description: Indian Shadows Mine Reclamation BF Project <br />