REP47529

• Permit No: M1984101
• IBM Index Class Name: Report
• Doc Date: 8/26/1987
• Doc Name: 110 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

MIS `LAND RECLAMATION DIVISION
1313 Sherman, Room 423
Denver, Colorado 80203
[phone]
RECEIVED
THE SUM OF

FOR ~,~r 1L~~ 1 1 l Q
AMOUNT OF ACCOUNT...... $
AMOUNT PAID ................ $
Jay°~ ~0~0668[0~
DATE ~__L 'ZLQ-'IS ~f,
DOLLARS $
~kan~ ~oul
~ I BALANCE DUE ............... $ BY V \ A Y(\ \ U V ~ ~ 1l f \\ y ~ ~