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REP32038
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REP32038
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Entry Properties
Last modified
8/25/2016 12:08:14 AM
Creation date
11/27/2007 6:06:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1978304
IBM Index Class Name
Report
Doc Date
11/13/1986
Doc Name
110 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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<br /> <br />COLORADO BANK S TRUST CO. DETACH ANb RETAIN THIS STATEMg NT <br />THE •TT~CNEO C CPiBEO B <br />EXPENSE CHECK DoT coaPECT ~EEC.~i Ho:iFr ~ecPnoMP.~v. ~" No nECEiP. -~wco. <br />0 <br />~~ DELUXE -FORM WV03 V-4 ~~ <br />INVOICE TOTAL DE DUCTIDNB NET <br />DATE Np. DE6CRI PTION AMOUNT DI6C CUNT I <br />GHT <br />F <br />R <br />E AMOUNT <br />11{12/86 17779 Annual fee for 1986 permit No. ~ '' <br />~~ <br />`` <br />~~ <br />V~ V~i~ <br /> M-78-304 re Black Cat Yit 50.00 <br /> (Triantos) ~V 2 ~80 <br /> ~NEp <br /> REC MATI D <br /> <br />-. orv~s~on <br /> <br /> MINED LAI .2ECLAMATIOh-DIYISICiN of ~ ~,J 819 9 <br /> 1313 Sherman <br />Room 423 <br /> , <br />~~ <br />Denver, Colorado 80203 DATE <br /> 03) 866-3 <br /> RECEIVED FROM <br /> THE SUM OF ~~ LLARS $C-' <br /> l_ ~l~/n~'~--/I / ^j Q pop eeen~s.+ <br />.r~~ /~,~//))~Vn o [ <br />~ <br /> X <br />FOR <br />~r ~ <br /> 1 <br /> AMOUNT OF ACCOUNT...... $ ~ ~~ QU <br /> AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ <br /> <br />U <br />
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