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REP01687
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REP01687
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Entry Properties
Last modified
8/24/2016 11:32:11 PM
Creation date
11/26/2007 10:02:47 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981277
IBM Index Class Name
Report
Doc Date
1/10/1989
Doc Name
ANNUAL REPORT FORM
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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<br /> MINED LAND RECLAMATION DIVISION N 0 ~ ~ g 2 2 8 <br /> 1313 Sherman <br /> Demrer, Colorado 80]03 r DATE ~ ' / U t s~ <br /> RECErvEO (30((~~3.~~) 8663567 <br />$ <br />~ <br /> ~ l 1FZ 15l~ 4n'1 1 <br />C <br />~O . C7 <br />FR <br />D <br />M <br /> n <br />E <br />-f <br />O/ <br /> -C d1 ~ o °i- <br />nnILARS <br /> / ~ _ ~J~/ '7 -'7 / O CASH <br />D <br />~6 <br />k1 <br />ECK <br />~/ ` ~ <br />/ ~ <br />E' <br />' <br />' <br /> ^ <br />D <br />M <br />L $ a y /~ <br />/ <br />tp <br />FOR Q/YY+ <br />/ <br />D <br /> <br /> AMOUNT OF ACCOUNT...........$ [`'~'° 1n <br />~ <br />~ <br />~ <br /> OU <br />r` <br />AMOUNT PAID ...................$ Jv <br /> BALANCE DUE ... ...... ... ... ....$ BY _ <br /> <br />
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