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REP37049
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REP37049
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Entry Properties
Last modified
8/25/2016 12:15:41 AM
Creation date
11/27/2007 7:39:38 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1974092
IBM Index Class Name
Report
Doc Date
10/8/1987
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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PAYEE: DETACH THIS STATEMENT BEFORE DEPOSITING DORN READY MIX CORP. <br />DATE INVOICE N0. DESCRIPTION AMOUNT DISCOUNT OR <br />DEDUCTION NET AMOUNT <br /> Annual Fee <br />MINED LAND RECLAMATION C SIGN N~ 0 0 6 9 4 5 <br />1313 Sherman, Room 42a <br />Denver, Colorado 80203 OATS-JL ~_-_is~ <br />F303) 866-3567 <br />,,,, <br />RECEIVED FROM v ~ ~r ~~~~ ~~/~~ ~ J <br />~__:, :J <br />' / <br />THE SUM OF ~ l.~.t s~'.h~ ~- N'"~ .DOLLARS $ J <br />/~ /' . / ~ ~ ~ /J I - Gnsi <br />LV ^~~~ 7 -CI ~ ~ ~ECN <br />FOR v ~ - ~~ 'ono <br />AMOUNT OF ACCOUNT.... .$ <br />~Qh~ - Ou~ <br />AMOUNT PAID ................ $ <br />BALANCE DUE ..... ......... $ BY ~ l-' ~ ~ F' - <br />
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