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DIVISION OF MINERALS AND GEOLOGY <br />Depanmem of Natural Resources <br />13 U Sherman 51., Roam 215 <br />1)rnver. Colorado 80203 <br />Phone 0031 866-7 567 <br />FAX. (10318328106 <br />STATE OF COLORADO <br />~~~ <br />DEPARTMENT Of <br />Division of Minerals & Geology NATURAI <br />RESOURCE` <br />Bond Liability History Report <br />Roy Romer <br />Goverrwr <br />Sign-off Sheet Ken Salaaar <br />EaM°live DueOOr <br />Michael 8. long <br />This section is to be filled out by the Estimator and given to°i~14e ie`~°` <br />Data Base Manager. Data Base Manager will return this form and <br />liability tracking sheet to Lead specialist. <br />Date: L~/f ~ ~ ~ <br />To: Data Base Manager <br />From : ~\ p~y.a~ ~•I n n S <br />Mine Name: , \ XJ\nS~ ~~y\A_. <br />Permit Number C-fit-oa\ <br />Permitting Action ~~-O 3 ~1,,.Fe~ (.¢~ln~ <br />Description nh,.,,.~ ~ ~ ~~ re,~ <br />a <br />Increase Liability Amount $ <br />Decrease Liability Amount $ 3 , $" 3 /, ~~ <br />This section is to be filled out by Lead Specialist and placed in <br />the revision files. <br />Posted Bond $ a~~~Q , OCJ <br />Current Liability $ a`~IG ~(p 1 .00 <br />Surplus/Deficit $ <br />(note: if deficit, posted bond must be increased) <br />c:\bond\940607 <br />