REP19280

• Permit No: M1978327
• IBM Index Class Name: Report
• Doc Date: 6/14/2001
• Doc Name: MLRB 112C ANNUAL FEE INVOICE AND REPORT REQUEST
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

Colorado Division of Minerals 8~ology
1313 Sherman Street, Room 215
Denver, CO 80203
SOLD TO
~ Sales Receipt
DATE SALE NO.
6/15/2001 5395
CHECK#ICASH
23359
DESCRIPTION NOTE AMOUNT
Min: Annual Fee [ADDITIONAL] M-1978-327 138.00
Total $138.00