PERMFILE69208

• Permit No: M1977141
• IBM Index Class Name: Permit File
• Doc Date: 8/31/1983
• Doc Name: RECEIPT
• From: MLRD
• To: ANDESITE ROCK CO
• Media Type: D
• Archive: No

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n~fntu tANU RECLAMATION DIVISION NO X227
1313 Sherman Street Room 423 _ 1 V
Denver, CO 80203
[phone] oarE 4~3i ~s_~~_
RECEIVED FROM Cti'^~¢ti -t Y-s_ C"crr f.Uca, ~
THE SUM OFT < µII~O°
OLLARS $ ~.Z.`I . ~G
^ cns+
FOR C 3 ( --r `^ ° !t ,11 -I ~- U I I ~+ECK
--T ^ M p
AMOUNT OF ACCOUNT...... $
AMOUNT PAID ................ $ v ~ull~ ~Qu~

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AN[]ESITE RACK COMPANY P,O BOX 829 - 313 5 PHILLIPS AVE. - SIOU% FALLS, SOUTN DAKOTA 101
VENDOR NUMBER DATE !VOICE NUMBER INVOICE AMOUNT DISCOUNT NET"AMOE1 T
304585 6/23/77 _ 455.00 455.00
4L
RE - F_IVED
003
JU -1 ~`a"
RECLAN~ ,t10N S~~-iION
Colo. Cep`. : "'L.r;.l " ~:~.:ces
MINING PE IT FEE 6002-4016
Please Detach This Stotement Before Depositing Check. TOTALS(.