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i <br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources ce <br />i 313 Sherman St., Room 2 t 5 ~ ~ •. ~~ o <br />Denver. CO 80203 • ~°~ <br />303 866-3567 <br />Fax: 303 832-8106 ~ yeas • <br />Roy liana.. <br />q~ Gorerrnr <br />'~ ~p ._ < Frea R. Bane. <br />DATE : Diveion an:aor <br />T0: Administrative Services <br />FROM: Debbie Molloy, Staff Assistant <br />RE: Request for Refund and Distribution of Prior Deposited Funds <br />Request Warrant Payable to: ~/V E/V~G~ y //_/~ . <br />- - <br />Net Refund Amount E ~S~• O ~ from Agency PKA, Fund 900, BS Account <br />a'7,3~-280, Rptg Cat. ~E1$ Gy~AL l!'.e PkA 95--/S~~) <br />Interest Due b ~-/ro from Agency PKA, Fund 100, Cash Acct 1100, Appr. <br />Penal ty Deposited ; ~~,$~ . GCS Date: °2 -/~ 9s <br />Deposit Doc. ID /',(-'~,~y 5iS- /i`/~ Adjusted Penalty (Q(~ , dU <br />RffUND AMOUNT ~ 7S5! //o (incl odes interest from ~y~9~ ~ to y(o ~9S-) <br />Interest Rate ~,59~ ' <br />PLEASE SENT WARRANT TO THE ATTENTION OF DEBBIE MULLOY, ROOM 215, CENTENNIAL BLDG. <br />_ - _- Z <br />/ ~~ <br />7 Diana L. Heyer, Administrati Officer <br />MINED LAND RECLAMATION INFORMATION ONLY: <br />Company: <br /> <br />/NC <br />ddaress: ~~~~~~ ~T/I'~P <br />File Flo.: ~- yQ~-~ to Violation No. ~-9`~-O°~ 6 ~ lJo2 <br />Warranty Received: Warranty Mailed <br />4799E <br />