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REP28686
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REP28686
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Entry Properties
Last modified
8/24/2016 11:59:17 PM
Creation date
11/27/2007 5:08:02 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981276
IBM Index Class Name
Report
Doc Date
7/13/1987
Doc Name
ANNUAL REPORT AND FEES FN M-81-276 HERTZOG PIT
From
MOBILE PREMIX CO
To
MLRB
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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" INVp1CE NUMBETi"~ -' <br />JUN1587A <br />JUN15878 <br />JUN1587C <br />JUN1587D <br /> <br />DATE"- DESC:""- <br />25 Sun 87 Steambo <br />15 Jun 87 Butter <br />15 Jun 87 Herford <br />15 Jun 87 Hertzog <br />~a~ - <br />7-~ y <br />7-~c <br />~~ <br />REMITTANC: ' <br />TOTALS <br />GRO55 "~~-- -" - <br />350.00 <br />50.00 <br />50.00 - <br />50.00 - <br />--~ - - <br />DIS000NT <br />~ 77- ~1 <br />~t 77- b <br />aF 7!- X33 <br />~' 8r-~7l. <br />2 1 P.O. BOX 5183 TA. <br />DENVER, COLORADO 80217 <br />•STATEM ENT~JO N-NEGOTIABLE ~ <br />.00 <br />z2`'6 02296 <br /> <br /> MINED taND RECLAMATION DIVISION N° 006593 <br /> 1313 Sherman, Room 423 ~Q'~ <br />Derwer, ColoraAO $0203 GATE ~/ 19 SQL <br /> (3 3) 8 3567 <br /> RECEIVED RaOM i '~ <br /> THE SUM OF DOLLARS $ ~Dl~ <br />(~f -L~~ pO ct~~~+ <br /> 950 ~° Sa ^' +~~ ° So °° <br />AMOUNT OF ACC UNT...... $ ~1QI1~2 _Uou~ <br /> AMOUNT PAID ................ $ "`.../// ' <br /> BALANCE DUE ...............$ ~ ~ ~~ <br /> <br />NET <br />500.00' <br />~/ <br />
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