REP07832

• Permit No: M1981080
• IBM Index Class Name: Report
• Doc Date: 6/13/2001
• Doc Name: MLRB 110C ANNUAL FEE INVOICE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

'Colorado Division of Minerals &~ology
1313 Sherman Street, Room 215
Denver, CO 80203
SOLD TO
& Aggr
Azurite, Inc,
~ Sales Receipt
DATE SALE NO. '
6/14/2001 5362
CHECK#/CASH
9619
DESCRIPTION NOTE AMOUNT
Min: Annual Fee [ADDITIONAL] M-1981-080 56.00
Total $S6.o0