REP04144

• Permit No: M1977534
• IBM Index Class Name: Report
• Doc Date: 1/30/1988
• Doc Name: 111/112 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISION ~f ~ p p 7 4 3 5
1313 Sherman, Room 423
Denver, Colorado 80203 DATE ~s ~
[phone]
RECEIVED FROM
THE SUM OF
_~ a, r,
!~ DOLLARS $ ~~
r~ J~~q^+~~c~o~si-i
^~~~ ~~ ~7Ia0~ 11..tOCK
FOR
AMOUNT OF A UNT. ..... $ ~/Ih~2 ~oul
AMOUNT PAID ................ $ ~li"llllUU1,
BY
BALANCE DUE ............... $
PAYEE: DETACH IRIS STATEMENT BEFORE DEPOSITING MOUNTAIN AGGREGATES. INC.
DATE INVOICE NO. DESCRIPTION AMOUNT DISCOUNT OR
DEDUCTION NEf ANOUNT
1-25-88 Annual Fees -Permit No: At-77-534 350,00
~~~ ~ M ~®
JAN 27 1988
MI-~~1~ LF~ND
~ CiECLAMAT40N DIVISION