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REP01089
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REP01089
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Entry Properties
Last modified
8/24/2016 11:30:57 PM
Creation date
11/26/2007 9:52:19 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987026
IBM Index Class Name
Report
Doc Date
11/7/1989
Doc Name
110 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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C~ <br />• <br />~~ ~ ~ ~~ ~ ®Enclosure <br />w <br />Permittee Name: Colorado Quarries, Inc. N QV 1 7 1988 <br />Permit No: M-87-026 M11S~~LAN[~ <br />Operation Name: 61ack Obsidian RECLgMAYIQPJ ~lu(~Ik1iR) <br />Anniversary Date: 11/06/88 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />x Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: we have nOt thic yaar and Hn .,nr a..r: ,.: ., .. r.. .. _ _ ___ <br />Claim still active No rerla r' •~; a E#is •~ <br />Sigrfature <br />(Rev. 06/ <br />0052f <br />MINED LAND RECLAMATION DIVISIOY.= ~•^ N ~ Q Q 9O 7 O ,~ <br />1313 Sherman ~~ t9~ 'J~--- <br />Denver, Colorado 80103 DATE <br />(303) 866.3567 $ <br />RECEIVED ~~ <br />FROM f I ~ C8 C <br />T l I Tf I~R.+'t~l ~ U,ARS <br />Q ^ CASH <br />U ! I ~ ^ CHECK <br />V ^ M.O. <br />FOR -~ 7 ~ I`I I ~L FS .,~Z'~°I- <br />AMOUNT OF ACCOUNT...... .....~ <br />O tJYIQN~ ~~ul <br />b <br />AMOUNT PAID .......... ....... .$ <br />Pty c ~ <br />ggIpNGE OUE ............... ...5 ~l7- Il r BY _ <br />
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