1999-08-16_REVISION - M1991079

• Permit No: M1991079
• IBM Index Class Name: Revision
• Doc Date: 8/16/1999
• Doc Name: SALES RECEIPT
• From: DMG
• To: ELAM CONSTRUCTION
• Type & Sequence: TR2
• Media Type: D
• Archive: No

pUEN�ER 0FFIC
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ELAM CONSTRUCTION, INC.
12367
Inv Date Inv No. Invoice Amount Disc Amt Payment Amount Balance Due
08/09/99 990809 150 .00 0 .00 150 .00
Received
AUG 12 1999
aftPUranglO Field office
ion of Minerals GeO/O9y
Vendor - 1429 CO DEPT OF NATURAL RE 0 .00 $150.00 CK# 00012367 08/11/99
nuc 00012367 12367
eoxe no . we.
ALPINE BANK
1225 So
1 82-340-1021
490110(970)242-5370
PAY:
One Hundred Fifty & 00/100 Dollars ***+******+*+******+*****+**+*****+** a
DATE AMOUNT o
08/11/99 *******+*$150 .00 -
TO THE
ORDER =
OF CO D13PT OF NATURAL RESOUR ELAM CONSTRUCTION,INC.
DIV. OF MINERALS & GEOLOG
1313 SHERMAN STREET
ROOM 215 /
DENVER, CO 80203, 1 ft. I ��f *>•
11■01236711■ 1: 1021,0340 ?1: 7070003182111