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

MINED L/--j RECLAMATION DIVISION �� 19266
1313 Sherman, Rm. 115
Denver, Colorado S0203 DATE - 2 � 19�
RECEIVED
(303 866-35671 -
$
FROM I n / _ -[- �L'.LJ
DOLLARS
❑ CASH
FOR(L HOECK
AMOUNT OF ACCOUNT... ......$ ^ I
AMOUNT PAID ......... .......$ lA
BALANCE DUE...... .......... .$ BY