My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
REP32304
DRMS
>
Back File Migration
>
Report
>
REP32304
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
8/25/2016 12:08:28 AM
Creation date
11/27/2007 6:11:44 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1976020
IBM Index Class Name
Report
Doc Name
COMPLETE FORM
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
Page 1 of 1
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
• iii iiiiiiiiiiiiiiii <br />Permit No: 76-20 <br />Anniversary Date: May 27 <br />Operator: <br /> <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are <br />Remarks: <br />(Check box(es)) <br />Check or money order payable to Colorado Mined Land <br />Reclamation Division for annual fees due <br />Annual Report <br />Map <br />Signature //ASSL~TANT (SECS~ETARY <br />
The URL can be used to link to this page
Your browser does not support the video tag.