REP32076

• Permit No: M1978327
• IBM Index Class Name: Report
• Doc Date: 5/14/1985
• Doc Name: 112 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISIii.~ N °_ _ 3 5 8 3
1313 Sherman Street Room 423
Denve~0 BO2O3 DATE ~ / ~ ~s ~-/
RECEIVED FROM
THE SUM OF ~~~ / /C/ Y RT F.) // ~ ~7~LLARS $ ~.
FOR ,H~/ / !~( C~~ /~~ ~ / ECK
M.O.
AMOUNT OF ACCOUNT...... $ ~~^Nr n your
AMOUNT PAID .... . .......... . $ lA/1~/11 ``~l,Q/A y 1y}~'
BALANCE DUE ............... $ BY ~ ~ ~ I ~~ • ' ~ ~ tit