1984-06-07_PERMIT FILE - M1984099

• Permit No: M1984099
• IBM Index Class Name: Permit File
• Doc Date: 6/7/1984
• Doc Name: APPLICATION WORKSHEET CHECKLIST
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVAN ~ I p 16 7 2
1313 Sherman Street Room 423 - - I Y

' ' 1
Denver, CO 80203 GATE ~ a 1 L_ 9s
[phone]

a RECEIVED FROM ~ C~n C5 ~- r,~ .
~ THE SUM OF n o -~i.1L•.ou~ c~ ~1, 1,...+~~fpLLARS $ ~~ ~'~ 11 . O O

FOR 0.C~L). ~et ~r ~~ O°C1 rjyl ~°~ECK
^ M.O.

AMOUNT OF ACCOUNT...... $ ~
QN~ /Foul
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AMOUNT PAID ................ $ 1l
~ BALANCE OUE ............... $ BY l -~ c' ~. G-
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