REP33075

• Permit No: M1980203
• IBM Index Class Name: Report
• Doc Date: 6/12/1985
• Doc Name: 110 ANNUAL FEE LETTER
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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• SENDER: ComDlere items 1, 2, 3 and 4.
Put your address in the "RETURN TO" space on the
reverse side. Failure to tlo this will prevent this card Irom
being reiurnetl to you. The return receiot_fee will provide
you the name of the pwaon detivaritd to and Ne date of
delivery. For etltlitionel fees [he following services are
available. Consult p03trnbler for fee<and check bonlal
for servicelsl royuesttrd.
1. ~ Show to whom, date end atltlrass Of delivery.
2. ~ Rgvicted Delivery.
3. Arlitle Addrpsed t0:

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0. TypB o} Service: Article Number
^ Registered ~ Insured
Ia"Certitied ^ COD j> Gly 4 Z 7ci 5 37
^ Express Mail
Always oblam signature of addressee or agent and
DATE DELIVERED.
5. Sign Nre A dretaM
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6. Signetun - Apem
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Date of Dalivpry '
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8. Addressee's Atltlress ~f7NlY I IIQIIgr g CC
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P 068 279 587
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse) ,Qn _-~~ z
Sent to
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Str et antl No.
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P.O., State and ZIP Code
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Postage s
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Certllietl ~ av ~
Spacial I e
Restricted Delive
Return Receipt Shpy'1ggr.r~ L
to whom antl DateIW7II~ ND
Return rt~ '
Dais, and Atldress of Delivery ,C
TOTAL Postage a ee(~ Q
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Postmark or D@@@ to
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MINED LAND RECLAMATION DR 1N (v ~ 0 0 4116
1313 Sherman Street Room 4]3-" / 9'
= Denver, CO 80203 DATE i.~E~ r~rO-rs
[phone] ~U
RECEIVED FROM C~n Q~~ ~~~~ ~~ //~}{~
THE {S/(U~Mq~OF ~/~ ~( !~/'~D~OLLARS $ rL~(~/,'jO~ -" "'
~ECK
FOR v - ~ ~ ~-Q-Q_ l ~ ( ~ V ~ -CYW ~ I V ~ cnst+
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AMOUNT OF ACCOUNT...... $ ~I. ^'^~ n f out
AMOUNT PAID ................ $ nlA1` -`VJI
fiALANCE DUE .............. $ BY
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