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REP18495
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REP18495
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Entry Properties
Last modified
8/24/2016 11:47:20 PM
Creation date
11/27/2007 2:24:14 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1987049
IBM Index Class Name
Report
Doc Date
9/26/1990
Doc Name
111 112 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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<br /> MINED LAND ~LAMATION DIVISION N~ _4158 <br /> 1313 ~~~rman, Rm. 215 " <br /> Denver, Colorado 80703 DATE ~"-~~- to ~~ <br /> (303) 866-3567 _ <br /> $ <br />RECEIVED v/f <br />f ~ <br /> - ~ ~ <br />Q. UO <br />FROM~~~ <br /> f )) ~iC~' <br />a Lo A'I {. i-r7 iyA o!`l~ ~, ~' /~~~~~ ~ DOLLARS <br /> ^ CASH <br />EYCFiECK <br /> '/ <br />-Sf 7-D'-I CI 7 7~ ^ M.O. <br />FOR ~/YL~ <br /> ~ <br /> <br />I AMOUNT OF ACCOUNT...... ....$ _ ~ <br />I_ n'O~I <br />J ` <br />U <br />~ <br /> J <br />II <br />1AIl K <br />II <br />AMOUNT PAID . ...... ........$ <br /> BALANCE DUE ................ ..$ ~ ~ LGL <br />
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