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PERMFILE118766
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PERMFILE118766
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Entry Properties
Last modified
8/24/2016 10:14:28 PM
Creation date
11/25/2007 5:52:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2001070
IBM Index Class Name
Permit File
Doc Date
7/23/2001
Doc Name
CERTIFICATION
Media Type
D
Archive
No
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~~ <br />,~ .,-., M ... <br />wi ; <br />66 Dartmouth <br />Pueblo, CO 81005 <br />July 20, 2001 <br />Connie Joiner <br />Teller County Clerk and Recorder <br />P.O. Box 1010 <br />Crivple Creek, CO 80813 <br />Dear Ms Joiner, <br />On July 18th , I submitted to your office a copy of a reclamation <br />permit application form. <br />I have been notified by the Division of Minerals and GeoloeY th~,the <br />certification page was incorrectly completed, <br />Enclosed is the corrected form. We have been instructed by the state <br />that they need confirmation by you that this corrected form has been <br />received. We have enclosed an envelope for your convenience.. <br />Thank you, <br />Wallace F, Burtis <br />P.S. If you would prefer to Fax thi he umber <br />is 303-832-8106 <br />e. e <br />m <br />S CRIPPLE CREEK, CO 80813 <br />~ <br />Rostage <br />S 0.34 , i~7JJT~iID:.OG43 <br />~ <br />I <br />~ <br />~ ~ <br />..:~ <br />~.. <br />fL Cartifetl Fee z•IO/ ,~ ~^~ <br />~ <br />Rehm Recelpl Fea <br />1 •5 J ~ Pa ark <br />._ <br />p (Endorsement Requlradl In re <br />C1eY <br />jJZ'U b2' <br />0 ResVlctetl Dallvery Fea <br />(Endorsement Required) 7 ~ <br />S/ <br />~ total Paataea a Fees $ 3.94 07 <br />0 <br /> <br />ul <br />ON iR IBn 'S Nark (Plea Pr/nf Cle rly) (TO be ni eted by mailer) <br />/! (JO er1 <br />cJTC[r~t <br />. ....... <br />~ <br /> ......................... . <br />Strast, Apt. NP.; or PO 9oe o. ................. .. _ <br />._...... <br />O <br />p .........................._._..._.... ............. <br />..._ <br />. <br />O <br />r clr rats, jIP. ~ <br />~ ._ ............r.+~............._._.... <br />6 r/t~/ <br /> M" ~ ~ r'~ASti ~, t ~ , r~iF 'nr l.nd/n•~ron b}' '!nm'~n ~ rnd <br />
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