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REP47694
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REP47694
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Entry Properties
Last modified
8/25/2016 12:51:24 AM
Creation date
11/27/2007 12:06:22 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1986040
IBM Index Class Name
Report
Doc Date
1/2/1986
Doc Name
110 AND 111 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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• ~ • <br />JNN z i9~G <br />Permittee Name: Cass Weber . <br />Permit No: M-77-519- f~~iildED L'~PJn RECL~iti~~~I~tN <br />Operation Name: BEAR RIVER S&6d4d.1t18Gt.04 ~datu~21 ROSdufCeS <br />Anniversary Date: 11 / 21 / 85 <br />Ill Illllllllllll 111 <br />110 and 111 Enclosure <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s~ below) <br />Check or money order payable to Colorado Mined Land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br /> <br />_i~ <br />MINED LA._. RECLAMATION DIVISION n,R 0 0 5 2 2 6 <br />1313 Sherman Street Room 413 <br />Denver, CO 80203 . ' - DATE ~e <br />(303) 866-3567 <br />P f/J~ ~- lr2n <br />RECEIVED FROM -`~F <br />ov ~~ [7Q- <br />THE SUM OF °~ DOLLARS $ <br />~!cas+ <br />FOR ~~"11 'y' ~'i~ ~ v ~ 1 <br />AMOUNT OF ACCOUNT...... $ <br />AMOUNT RAID .......... ..... $ <br />.-. _. ,.. „~~ ru is ..... $ BY <br />~y n Iro+o <br />~ou~ <br /> <br />gnature <br />
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