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<br />STATE OF COLORADO <br />MINED LAND RECLAMATION DIVISION <br />Department of Natural Resources <br />1313 Sherman St.. Room 2 t 5 <br />Denver, CO 80203 <br />303 B66-3567 <br />Fax: 303 832-8706 <br />.. <br />rays <br />Fioy Ramer. <br />!/ Goveargr <br />DATE : 7- lO ~ Free R. Banta, <br />Oivisipn Director <br />T0: Administrative Services <br />FROM: Debbie Molloy, Staff Assistant <br />RE: Request for Refund and Distribution of Prior Deposited Funds <br />Request Marrant Payable to: ~/(~ E/y~lnr y ///~ , <br />Net Refund Amount S 7SD • O o from Agency PKA, Fund 900, BS Account <br />a7.3~-8780, Rptg Cat. 'GaAL l!',e P~A 9S-/S/~) <br />Interest Oue b ~/-/~ from Agency PKA, Fund 100, Cash Acct 1100, Appr. <br />Penal ty Deposited E ~o3S~ • GU Date: °~ -/~ 9S <br />Deposit Doc. ID /',~0,(~,q qS- /S`V Adjusted Penalty ~QC7 , 6U <br />RffUND AMOUNT ~ 7S5! //o (includes interest from %/3~~9~ ~ to y~ ~9s ) <br />Interest Rate x,59„ <br />PLEASE SENT WARRANT TO THE ATTENTION OF DEBBIE MULLOY, ROOM 215, CENTENNIAL BLDG. <br />- -_ -~~ <br />/ ~- <br />Y Diana L. Heyer, Administrati Officer <br />MINED LAND RECLAMATION INFORMATION ONLY: <br />Company: /P'/~/ ~.v~z~° y //UL° __-- <br />~,daress: ~~j~i//-rt.l ~~~P <br />File No.: ~- f~'~-~ ~o Violation No. ~-9y-o~2G ~Goz 7 <br />Warranty Received: Warranty Mailed <br />4799E <br />