REP05339

• Permit No: M1981202SG
• IBM Index Class Name: Report
• Doc Date: 11/27/1992
• Doc Name: 112 ANNUAL FEE INVOICE AND REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~,
jED LAND RECLAMATION DIVISION - Np 2219
~-.~ 1313 Sherman, Rm. 215 ~
Denver, Colorado 80203 _ DATE ~~'~ 7 19 ~ Z
(303) 866- 7 $~~
RECEIVE~~J/ f~/j,~, 'IL/ZLL~
FROM ~L(-5L/h1'~D~ 1/~/I / L
FOR~P~/~//'~ .V~ /'! / ..J ~~D~~SG o~~t'sy O M:O. K
AMOUN7~UNT.... ...... $
AMOUNT PAID... ..... ~ v u I
BALANCE DUE . ......... ......$ BV