PERMFILE138109

• Permit No: M1986123
• IBM Index Class Name: Permit File
• Doc Date: 9/2/1986
• Doc Name: REGULAR 112 PERMIT APPLICATION FORM
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISION,, N~ 0 7 8 7 3
1313 Sherman, Room 423 -
Denver, Colorado 80203 ~~ DATE ~s ~~2-
[phone]
RECEIVED FROM
THE SUM OF
$---!sew
flcns+
FOR
AMOUNT OF ACCOUNT...... $
AMOUNT PAID ................ $
BALANCE DUE ............... $
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BY
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