2006-01-09_REPORT - M1999069

• Permit No: M1999069
• IBM Index Class Name: Report
• Doc Date: 1/9/2006
• Doc Name: Annual Fee/Report/Map
• From: Jake Kauffman & Sons Inc.
• To: DMG
• Permit Index Doc Type: Annual Fee / Report
• Media Type: D
• Archive: No

Colorado Division of Minerals & Geology
1313 Sherman Street, Room 215
Denver, CO 80203
Sold To
Jake Kauffrnan & Sons Inc
Sales Receipt
Date Sale No.
01/09/2006 15699
Check# /Cash
61387
Description NOTE Amount
Min: Annual Fee M-1999-069 688.00
Total ~6g8.0o