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`~~- ~~ III lllllllllllfllll <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1373 Sherman St, Room 215 <br />Denver, CO 60203 <br />303 666-3567 <br />Fax: 303 832-8106 <br />DATE : ~~~fija~ <br />T0: Administrative Services <br />FROM: Debbie Molloy, Staff Assistant <br />STATE OF COLORADO <br />OF•CO <br />.l~" _ 4,~ <br />e <br />«c ~ <br />+ ~:J <br />•~,~• <br />027 / 9 9T_ <br />ROy Rpner, <br />Gorenv <br />FraO R. Bann. <br />Oivition Diractor <br />RE: Request for Refund and Distribution of Prior Deposited Funds <br />Request Warrant Payable to: ~L4/'d~g_c1 .. .`._:~'7.C~7'u~~-aat.. ., ~tiC <br />Net Refund Amount E SOD . D O from Agency PKA, Fund 900 BS Account ) <br />0?7.30 ~, Rptg Cat. G'vff ~-~ ( ~~ P.CA 91000 000 ®/~/d -.>' - 9.~/ <br />Interest Due S ~!~-t~J from Agency PKA, Fund 100, Cash Acct 1100, Appr. <br />Code 011, GBL 110D, Program MNRC. <br />Penal ty Deposited ; j.S`OD. (JU Date: /D -~ - qS <br />Deposit Doc. ID C7iQ ~°,('~ 91p =0~ / Adjusted Penal ty /DOO; <br />,d'' ~/ <br />RffUND AMOUNT S~ yt.~ (includes interest from ~~ 9.S' to ~%z~/5' <br />Interest Rate ~, S~ . ~~ mays <br />PLEASE SENT WARRANT TO THE ATTENTION OF DEBBIE MULLOY, ROOM 215, CENTEIJNIAL BLDG. <br />/~ <br />t. Diana L. Heyer, Adminis ative Officer <br />MINED LAND RECLAMATION INFORMATION ONLY: <br />Company: <br />•~~ ~ <br />Adaress: <br />File ido.: _ ~~ ~~ -(gyp C~ Violation No. _ <br />Warranty Received: Warranty Mailed <br /> <br />G-oit~y/c.P~v.~ <br />9s `~`~ U.... <br />4799E <br />