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._ ~_ _~. e7: 3a CENTENNIRL INS ~ 8523759 <br />N0. 336 002 <br />C~1//~ SURETY aµ Trensactlon Repoli & Invoice <br />CNA SURETY Prlnclpallniormatlon: ID: 000140536 ' <br />tcl 50. vHILLIPS 4VENUE MATNIAS CONCRETE, INC <br />s:~ux EALIS, 5.0. 57192 P. 0. 80% 266 <br />MONTE VISTA, CO 81144 <br />Agency Code: OS-003241 <br />CENTENNIAL AGENCY INC <br />P 0 BOX 8210 <br />PUEBLO CO 81000 <br />Tranaactlon DeecrlptlDn: RENENAL <br />Number: lozle7eo7 <br />W rtten By: COMZMENTAL CAOUALTY COMPANY <br />7e5Cn Dtlon gAriO Y GRAVEL RECLAMATION 90ND <br />OD6gee 3717E OF COLORADO <br />11TH ED LA1C0 RECLAMAT LON DIV. <br />DEPT. OF NATURAL RESOURCES <br />1313 3MERMN 37REE T, ROOK 21b <br />DENVER, GO 00203 <br />Exec EVe Dete: 04.22-2001 <br />Espuauor Dace. o4•zz•zoaz <br />~u/ra nr %enfllty {19,400.00 <br />Fene wal Method INVOICE <br />Transaction Ettectlve Date: 04i22/20a1 <br />DE fNP <br />O'9ANNON PTT, PERMIT N0. M•0 o-201 <br />L <br />JAN 2 9 2001 <br />Cantenniallnsurance <br />PREN YUN <br />%.,; r.. ~w mar •rmw~ RVD altH! u uu a~ o bAllnp/arv d'! Invoce <br />c/VA SURETY9M INVOICE <br />"~C HO EFFECTIVE DATE ANNIVERSARY DATE <br />C b05 142181047 04-22_'01 (14-22-02 <br />:=,cra_ NAfiwla~ ONCRETE, INC <br />P. 0 BOX 266 nONTE VISTA, CO 81144 <br />3/s/~, <br />PAOC ESS DATE <br />n1-72-n5 <br />:: sc R~v•ioH SAND 8 GRAVEL CLA A N AN ON T, PER IT 0. M-BO-201 <br />(217.00 <br />s'FIULTY <br />DE FMP <br />AOEN:'Y CODE <br />05-00324 CHARGE $217.00 <br /> <br />~c"v"ENNIAL AGENCY INC <br />P 0 90x 8210 <br />P.;EBLO CO 81008 <br />FiECEiVED <br />ocr 2 s 2002 <br />Oivisian of Minerals and Geology <br />