REP08268

• Permit No: M1977573
• IBM Index Class Name: Report
• Doc Date: 3/29/1993
• Doc Name: 112 ANNUAL FEE INVOICE AND REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

Mlt 'LAND RECLAMATION DIVISION
~-' 1313 Sherman, Rm. 7.15
' Denver, Colorado 80703
h303) 866-3567 -
RECEIVED n f ~ n :~_
_. N°_ 23g167C~
DATE ~ ~ ~ / 19 / ~~
$
9U.
DOLLARS
o CA$FI
~/Sj~1 K
^ M.O.
AMOUM dF ACCOUNT.... ... ..$
AMOUNT PAID .. .. ... .. ......$
BALANCE DUE . ...... ..........$
BY