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REP25523
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REP25523
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Entry Properties
Last modified
8/24/2016 11:57:05 PM
Creation date
11/27/2007 4:14:55 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1979103
IBM Index Class Name
Report
Doc Date
4/11/1983
Doc Name
FEE FORM
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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MINED L4ND RECLAMATION DIVISI(,.. N 0 13 8 3 <br />1313 Sherman Street Room 473 ~~~, <br />~ Denver, CO 80703 DATE_,L~~s~ <br />13031 866_3567 ,. <br />RECEIVED <br />f <br />THE SUM OF U DOLLARS $ ~~~ "' ~ " <br />_ ry ~~ ~ ^~ctasH <br />AMOUNT OF ACCOUNT...... $ 0.r..;, X71 I n I ~ <br />AMOUNT PAID ................ $ <br />~ ~ BALANCE DUE ............... $ BY /V ~ ~' 7r~GC~O/~L/ ~ ~ <br />
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