Laserfiche WebLink
III IIIIIIIIIIIII II( �`"' % �' �`r <br /> 999 <br /> STATE OF COLORADO <br /> MINED LAND RECLAMATION DIVISION <br /> Department of Natural Resources <br /> 1313 Sherman St.,Room 215 M i <br /> Denver, CO 80203 +.n1r f�l�:'• <br /> 303 866.3567 'ra7s <br /> FAX: 303 832-8106 q <br /> Roy Ramer, <br /> Governor <br /> DATE: Fred A.Banta. <br /> Division Director <br /> TO: Administrative Services <br /> Debbie Mulloy, Staff <br /> RE: Request for Refund and Distribution of Prior Deposited Funds <br /> Request Warrant Payable to: 2��. <br /> Net Refund Amount $ D U from Agenc BS Account <br /> 027,%0 - , Rptg Cat. Z=4,9 9� e !?7Z 1'61 SAS- /70) <br /> Interest Due $ /O. e, F from Agency PKA, Fund 100 , Cash Acct 1100 , Apppk,5 <br /> Code 011 , GBL 110D, Program MNRC. <br /> Penalty Deposited S /"&�) , 00 Date: ��9,5— <br /> Deposit Doc. ID /',Q Acl-9 Adjusted Penalty —� — <br /> REFUND AMOUNT /o?GO, J (includes interest from to <br /> Interest Rate -3 ,6-2r . <br /> PLEASE SENT WARRANT TO THE ATTENTION OF DEBBIE MULLOY, ROOM 215, CENTENNIAL BLDG. <br /> iana L. Heyer, Administrati Officer <br /> MINED LAND RECLAMATION INFORMATION ONLY: <br /> Company: c' ow/,t/ 0C!/L ---5 <br /> Adaress: <br /> File No. : �— �'� -GX Violation No . <br /> Warranty Received: Warranty Mailed <br /> 4799F <br />