REP15071

• Permit No: M1977022
• IBM Index Class Name: Report
• Doc Date: 3/17/1983
• Doc Name: NOTICE OF INTENT TO CONTINUE DELTA SAND AND GRAVEL CO PIT 3 MLR 77-22
• From: DELTA SAND AND GRAVEL CO
• To: MLRD
• Media Type: D
• Archive: No

Coloraao I•tined Land F^cl~ ration Board
5566
PATE DESCRIPTION AMOUNT DEDUCTIONS NET AMOUNT
3/Lo/S3 Permit ;~ 3, i~I.P..L. ~~o. 77-22 50.00
ATTACHED CHECK IS IN FULL PAV MENT OF ITEMS LISTED ABOVE. PLEASE DETACH THIS STATEMENT BEFORE DEPOSITING.
DELTA SAND antl GRAVEL CO.
DFl1A, COLORADO

RECEIPT - _ate ~Y1~.~-<„ ~0 19 ~=v ~ `559
Received From O ~, ~~-- d` ~ ,-, <C ~ nc~ ...~ Co .
Address E' o . ~3~. , s - g i~
- ~ °~ % Dollars $
For c, ., _ ~c -~- - Z

ACCOUNT HOW PAID
AMT
OF
.
ACCOUNT CASH
AMT. PAID CHECK. S
BAIANCE MONEY p
DY l 1~~- .}lC.
DUE ORDER

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