Laserfiche WebLink
<br /> <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St., Room 21 S <br />Denier. CO 80203 <br />303 866-3567 <br />Fax: 303 832-8106 <br />~~°~•~`O <br />e <br />~'Q~o <br />• ®• <br />~ r876 ~ <br />Ro/ Ramer. <br />`/ p~ Gowmm <br />DATE : 7- ~ - < 1 FreE R. Bane. <br />llwsion Director <br />T0: Administrative Services <br />FROM: Oebbie Molloy, Staff Assistant <br />RE: Request for Refund and Distribution of Prior Deposited Funds <br />Request Warrant Payable to; ~/~E~~~ S/ ///~ , <br />Net Refund Amount E ~S`C~ • O~ from Agency PKA, Fund 900, BS Account <br />a'7.3~ -780 , Rptg Cat. COAL l C',e /AKA 9S- /f~~) <br />Interest Due b ~-/~ from Agency PKA, Fund 100, Cash Acct 1100, Appr. <br />Penalty Deposited s /~3,S~.GU Date: °~-/y~-9S <br />Deposit Doc. ID /',(~P,(~y 9S /f`l' Adjusted Penalty (,Q() ; 6U <br />RffUND AMOUNT ~ 7Sy //o (includes interest from %/y~9~ ~ to y(o /9S ) ~ <br />Interest Rate ~, S9e <br />PLEASE SENT WARRANT TO THE ATTENTION OF DEBBIE MULLOY, ROOM 215, CENTENNIAL BLDG. <br />~- --~ <br />~- <br />L. <br />Diana L. Neyer, Administrati Officer <br />MINED LAND RECLAMATION INFORMATION ONLY: <br />Company <br />N ~N~ <br />c <br />Address: ~~~i~~.J ~~~P <br />File Flo.: ~- f~~-~ to Violation No. ~-95/-a~2G ~~~ 7 <br />Warranty Received: Warranty Mailed <br />4744E <br />