REP00933

• Permit No: M1981020
• IBM Index Class Name: Report
• Doc Date: 5/26/1987
• Doc Name: 110 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

MINED LAIw RECLAMATION DIVISION N~ ti 0 6 ~ 8 g
1313 Sherman, Room 423
Denver, Colorado 80203 oaTE is ~ 7
[phone] {I~ ,~ a
RECEIVED FROM ~//IMA 0 ~'~/), 7Q~ -
~ ~~ K
THE SUM OF _ '~ DOLLARS $ CJ~~
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FOR ~JCLL`tQ0 ~ -~I "~~ ~p aTQ ~rnocK
AMOUNT OF ACC:DUNT...... $
AMOUNT PAID ................ $
BALANCE DUE ............... $
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