1995-03-23_REPORT - M1980171

• Permit No: M1980171
• IBM Index Class Name: Report
• Doc Date: 3/23/1995
• Doc Name: 110 2 ANNUAL FEE INVOICE & REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

STATE OF COLOKADO
DIVISION OF MINERALS AND GEOLOGY
of
Depanmenl of Nature)Resources
1413 Sherman 51., Roomm2121 5 5
Denver,Colorado 80203
Phone.[phone]
FAX:[phone]
DEPARTMENT OI
NATURAL
RESOURCE`
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AUTHENTICITY CERTIFICATE F"`,w,, [),,v,.
Mrt had Lung
D-6,n Dur(mi
I hereby certify that the microphotographs reproduced on this film
are true copies of the records and were microfilmed by the Colorado
Division of Minerals and Geology, 1313 Sherman Street, Room 215,
Denver, Colorado in fulfillment of the provisions of Section 24-70-
107 , Colorado Revised Statutes 1973 , as amended. The records
reproduced on this microfilm were created during the normal course
of official business of this agency. The description and methods
of arrangement and dating of the original records have been
retained.
Date Signature of AutKoriz ' Agency Officer
DIVISION DIRECTOR
Title
m: \micro\authcert