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PERMFILE48923
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PERMFILE48923
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Entry Properties
Last modified
8/24/2016 10:50:51 PM
Creation date
11/20/2007 1:50:15 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1983059
IBM Index Class Name
Permit File
Doc Date
10/21/2003
Section_Exhibit Name
Exhibit 03 Insurance Certificate
Media Type
D
Archive
No
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- STATE COMPENSATION INSURANCE FUND <br />~ 2167P1 950 BROADWAY <br />DENVER, COLORADO 80203 <br />• PNUNE !3031 866-2656 <br />6/03/83 <br />`-~ <br />BEAR COAL CU E <br />PACIFIC BASIN COAL E <br />CARBON I)BA <br />TERROR CREEK CU <br />P U BUX 117 <br />PAUNIA CU <br />~la2s <br />AREA OFFICES <br />PUEBLO GRAND JUNCTION - GREELEY <br />POLICY NUMBER 148696 2 <br />THE ABOVE WURKMENS COMPENSATION PULICV NUMBER AND COVERAGE HAS BEEN <br />ISSUED EFFECTIVE APRIL 26, 1983. <br />SHOULD YUU HAVE ANY IN2UIRIES, PLEASE REFER 7U THE ABOVE POLICY NUMBER. <br />7HE PREMIUM STATEMENT AND POLICY WILL BE ISSUED AS SUUN AS POSSIBLE. <br />WE APPRECIATE YOUR BUSINESS AND COOPERATION IN HELPING US TU PROVIDE <br />YOU WITH 7HE BEST OF SERVICE. <br />YOURS VERY TRULY, <br />STATE COMPENSATION INSURANCE FUND <br />MRS LEULA LUCERU <br />C~ <br />A3 <br />REl/.1-77 <br />UNDERWRITER <br />L <br />
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