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2024-02-06_REVISION - M1987116
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2024-02-06_REVISION - M1987116
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Entry Properties
Last modified
2/6/2024 9:43:31 AM
Creation date
2/6/2024 9:39:23 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987116
IBM Index Class Name
Revision
Doc Date
2/6/2024
Doc Name Note
Payment Received
Doc Name
Request For Conversion
From
Lewicki & Associates
To
DRMS
Type & Sequence
CN1
Email Name
ECS
MAC
EL1
Media Type
D
Archive
No
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0 ORIGINAL DOCUMENT HAS A SECURITY VOID BACKGROUND PANTOGRAPH.MICROPRINTED BORDER-SEE REVERSE SIDE FOR COMPLETE SECURITY FEATURES 6) <br /> COLORADO QUARRIES INC HIGH COUNTRY BANK 018430 <br /> 719-275-6894 SALIDA,BUENA VISTA <br /> 270 S 15TH ST CANON CITY,LONGMONT <br /> CANON CITY,CO 81212 82-7046/3021 <br /> 01/10/2024 <br /> PAY TO THE <br /> ORDER OF Colorado Division of Reclamation, Mining &Safety $ **2,%00 <br /> Two thousand six hundred ninety-six and 00/100**********************************************************************•* <br /> DOLLARS <br /> Colorado Division of Reclamation, Mining &Safety [o]. ,'"�.. <br /> Room 215 �P*. SF, <br /> G <br /> 1001 E 62nd Ave ` y, °9F <br /> Denver, CO 80216 USA I �b�J c 5 <br /> rf\ <br /> ,,,_\01€>ti___A , 6 e <br /> MEMO. AUTHOR'ZED SIGNATURE • <br /> 'ft L\ O Lt CA <br /> a THIS DOCUMENT CONTAINS HEAT SENSITIVE INK. TOUCH OR PRESS AND RED IMAGE DISAPPEARS WITH HEAT. a <br />
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