2024-10-28_REVISION - M1987078 ‎(5)‎

• Permit No: M1987078
• IBM Index Class Name: Revision
• Doc Date: 10/28/2024
• Doc Name: Request For Amendment To Permit
• From: City of Lamar
• To: DRMS
• Type & Sequence: AM1
• Email Name: UEA
• Email Name: AME
• Email Name: EL1
• Media Type: D
• Archive: No

City of Lamar FRONTIER BANK
i
102 E PARMENTER ST 200 S MAIN ST
LAMAR CO 81052-3299 LAMAR CO 81052-2833 004730
GREEN CHECKS-
M MU
LTI
IF FU
ND
...............:::::::
10/25/2024 100655 $827.00
PAY ****EIGHT HUNDRED TWENTY SEVEN AND 00/100 DOLLARS
TO THE DIVISION OF RECLAMATION MINING& SAFETY ,
ORDER 1001 E 62ND AVE ROOM 215
OF DENVER CO 80216
Authorized Signature
��' 100 6 5 Sill 1: 10 2 L008 ? 9i: 004 ? 30,1'