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REP41963
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REP41963
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Entry Properties
Last modified
8/25/2016 12:43:46 AM
Creation date
11/27/2007 9:10:03 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1981020
IBM Index Class Name
Report
Doc Date
6/7/1991
Doc Name
PN M-81-020 THORSEN MINE ANNUAL FEE & REPORT REQUEST NOV M-91-059
From
MLRD
To
INDIAN SPRINGS MINING
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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•SENDE R: CompNte Items 1 end ~ when eddltloMl eervkw ere dtllred, entl complete itsmr 3 <br />end 4. <br />Put your eddre0 In the "RETURN TO" SDece on the revert eb~ Fellure to tlo this will prevent this <br />cud from being rewmed a you. <br />or eddltlOMl see 7}le of owing Mrv ti ere eyelleble. Conwlt <br />p te1 01 feM end Chef bOZ A }Or eddltlPMl Mrvleele) nqueexd. <br />1~Show to whom delWered, dea, end eddnwe'e eddrea 1. Q Reetrk[ed Delivery <br />1 (Este chagelt t/EsM eherje i <br />3. Article Addreered to: 4. ~4rti N f <br />b~r <br />- ~ <br />rD ~ J <br /> TYPe of SeMce: <br />MR BENNIE THORSON ^~~t1egi•tsnd ^ Imursd <br />INDIAN SPRINGS MINING Sloertlfled ^ coo <br />80Y( 405 Ezpnu Mail <br />CANON CITY CO 81215 AIYaYe mtel^ elgMturo of adereseee <br /> or agent end D~'SE DELIVERED. <br />5, Sign - Addrereee 8. Addrenee'r Addrre (ONLY if <br />X requetted and jee paid) <br />8. Slgnewre -Agent ~+ <br />X <br />7, Date of slivery <br />!! Npnn 71, )der. 19 7 : us.al!o. ton-tta.aw DDMEtTIC RETURN RME~ <br />.SENDER: Complex lame 1 end 7 when edditlonN eervkW ero deelrod, entl complete Items 3 <br />entl 4. <br />Put your eddreee In tM "RETURN TO" E/eee en trle rwreree else FNluro a do thN will Drevent this <br />card }ro being returnetl to You. <br />or Itbnel the o lewing eervleee ero evelleb e. Conwlt <br />Poe eetq or wend Cheek boz r for eddltloMl service(s) requested. <br />1. Show to whom dNMnd, dea, end eddrsws'e eddrsss. Z. ^ RetrtrbeW Dellwry <br />t (Exfre eker>feJt t /EsM oM/ge t <br />kle Addreswd to: 4. ArNele Numbr <br /> P~(-27 3`{~ ~6~ <br /> 7yp of SerMp: <br /> ^ pinsrad ^ Insured <br />FREMONT NATIONAL BANK "~ arrltud ^ coD <br />532 MAIN ^ Exp 11 <br />CANO <br />I <br />Y CO 81212 <br />N CT Alvwys eigMture of eddrassea <br /> or pent and DATE DELIVERED. <br />5. Tigneturo - Addroeese S. Addrease's Addrrs (ONL Y if <br />X requetted and fee pard/ <br />5. Si uro - n <br />X <br />7. Dee of Delivery <br />K iorm i17, Yet. 1fE1 • 0.6.QP.0. faA-t7FZet DOMYTM: RETURN RECEE-~ <br />is <br />
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