2005-07-25_REVISION - M1978221 ‎(2)‎

• Permit No: M1978221
• IBM Index Class Name: Revision
• Doc Date: 7/25/2005
• Doc Name: Transfer of Permit and S.O. application
• From: Lowell Klinglesmith and Lenny Klinglesmith
• To: DMG
• Type & Sequence: SO3
• Media Type: D
• Archive: No

-z-
II. ADMINISTRATIVE INFORMATION:
1. Pemtit Number:
2. Operation Name:
3. Current Permitted Operator:
Contact Person:
Company Name:
Street:
City:
State:
Area Code:
4. Successor Operator:
Contact Person:
Company Name:
Street:
City:
Slate:
Area Code:
IRS Tax ID No. or Social Security No.:

M-1978-221
K-Bar-T Pit
D'Aun Manqus & LaTonne Mangu.s
4160 CR 8
CO Zip Code: 81641
970 Telephone: [phone]
Lowell Klinglesmith & Lenny :Zlinalesmith
7576 CR 13 P.O. Sox 1164
CO Zip Code: 81641
970 Telephone: [phone]

5. Application Fee: $100.00 for Hard Rock operations; $125.00 for Constnrction Materials operations
Make check payable to the Division of Minerals and Geology
~JC --~,,~i1O