ENFORCE24385

• Permit No: C1981021
• IBM Index Class Name: Enforcement
• Doc Date: 10/28/1980
• Doc Name: NOV
• Violation No.: CV0000000
• Media Type: D
• Archive: No

~' - ~
Date of Servicey_G'~ _~~___, 19gQ
Person Served
-IX i ~i ~
zi~-=`=~~'~y--~~L I--1-------- -=-1---
(Plea a print name ana title)
i
a
G~J __
Si~nature_____ _ ___
(Person served)

MINED aND REGL4,MaTIC`J DIVISID"i
Y---~~ --~~___
(authorized representative)
t_ar¢L~4L/L/!~L-=-ne~l~~mz S~Q~~L~~JL'
(Name and title - pleas= print)
I'~PORiaNT: PLEaSE REaD THE REVERSE SIDE OF THIS PaGE.
10/79 C.R.S. 1973, 34-33-123