REP48431

• Permit No: M1987027
• IBM Index Class Name: Report
• Doc Name: 110 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

MINED LAND RECLAMATION DIVISION N O O O 9 O'7 0
1313 Sherman rI /~
Denver, Colorado 80203 "' DATE '~ t B~_
[phone] $
RECEIVED /'~ /c~
FROM l p ~ ~ . l it ~ 1 lt~.h_'Ll ~~~ S~.
AMOUNT OF ACCOUNT.... ......$
AMOUM PAID ... ...... ..... .....$
BALANCE DUE . .... .... ........$
^ cASH
^ CHECK
IG Ff .,Z ^ M.O.
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