REV106188

• Permit No: M1988037
• IBM Index Class Name: Revision
• Doc Date: 2/22/1996
• Doc Name: TRANSFER OF PERMIT AND SUCCESSION OF OPERATORS APPLICATION FORM
• Type & Sequence: SO1
• Media Type: D
• Archive: No

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II. ADMINISTRATIVE INFORMATION:
1. Permit 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:
State:
Area Code:
IRS Tax ID No.
5. Apprication Fee

Ruth Gra
Skelton. Inc.
p. 0. Box 125
Norwood
Colorado Zip Code: 81423
970 Telephone: [phone]
aul E. McGehee
United Companies of Mesa County, Tnc.
P. 0. Box 3609
Grand Junction
Colorado Zlp Code: 81502
970 Telephone: [phone]
or Social Security No.:
$100.00
Make check payable to the Division of Minerals and Geology