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REP49053
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REP49053
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Entry Properties
Last modified
8/25/2016 12:52:53 AM
Creation date
11/27/2007 12:27:45 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980228
IBM Index Class Name
Report
Doc Date
5/23/1988
Doc Name
FN M-80-228 TRIANGLE ONE PERMIT ANNUAL FEE & REPORT REQUEST
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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MINED LAND RECLAMATION DIVISION N O O Q 8 Q 1 O <br /> 1313 Sherman <br />Denver, Colorado 801!13 DATE 5 - ~ ~3~9 <br /> (303) 86 <br />6-3567 - <br /> n $ <br />1 <br />RECEIVED ~(.l <br />11 ~r) <br />,., ~ ,yl .~U . (. ~J <br />/ <br /> ~~l ~~( <br />( <br />( lJ%Cx <br />FROM ~( i <br /> CI f' <br /> 1 °t- ~~ 7. ooLwRs <br /> I ^ CASH <br /> _ <br />M ~CK <br />J <br />~ '~~U i!/ <br />O <br />~ <br /> c <br />X L <br />^ <br />,C. <br />/~ / <br />FOR C:L'A,r <br /> <br /> AMOUNT OF ACCOUNT ...... .$ ~ '^ ~ n'OI' I <br />' <br />` <br />U <br /> AMOUNT PAID.. ... $ 1 <br />l <br />J <br />U <br /> <br /> BALANCE DUE ....... ...........$ BV <br /> <br />Q SEN DE R: Com p/~,Items 1 end 2 when eddltlonel servlcas era tleslrerti,d complete items 3 <br />antl 4. <br />Put your atldresz in n.,,"RET V RN TO" Space on the reverse side. Failure to ao this will prevent this <br />cartl from being returned to you. The return receipt fee will provltle you the name of the person <br />delivered to end the date of daliverv. For additional fees the followln9 servlcas are evelleble. Consult <br />postmaster for fees antl check bozlesl for eddltlonel service(s) requested. <br />7. Sd Show to whom tlellvaratl, tlaie, entl.atltlressee's address. Z. ^ Restricted Delivery <br />/~ 1(Extra chp~} _ f (Extra chargeJt <br />3. Article Addressed to: ~ 4. Article Number <br /> ~ 7~ s y7l <br />oa ~ <br />~Q ,~/1 (~ o <br />dQ.fTi~q,~.~ oc-e.~.t eA~ <br />___ Type of Service: <br />7 ~ 777111 ^. Registered ^ Insured <br /> ~Cartified ^ COD <br />~7 ~ C`/~~~ <br />P <br />~ <br />c~ ^ ExP~essMail <br />-lJ <br />~~54 ~r Always obtain signature of addressee <br /> or agent and DATE DELIVERED. <br />B. Signature - ddressee 8. Addressee's Address (ONLY if <br />X requested and fee paid) <br />6. Sig tore -Agent <br />X <br />7. Date of De ery <br />PS Form 3611, hfar. 1967 • U.S.G.P.D. 7987-t7&Y6e DOMESTIC RETURN RECEIPT <br />(~ ~ <br />~ ~~ L7~ 1313 Sherman, Rm. ' i ~Danver, CO 8023 <br />Q J <br />~ rv G <br />, lu go <br />Dom <br />!] W 'o¢ F <br />LL o ~ ~ <br />~ ` m <br />¢so ~ <br />h W ~a ~ <br />z w <br />s U°wII <br />~__; <br />~r; O j g r/l <br />1~ .-0 h- <br />^l 1 W ~ <br />4 U <br />w <br />C <br />~1 <br /> <br />~b <br />~, , <br />~ <br />l~~.:J <br /> <br />r <br /> <br />'~ .i <br /> <br />m <br /> If}~ r 1 .~ <br /> <br />V <br />I:~~ <br /> <br />r <br /> <br />^a <br />m <br />Sj >" <br />S <br />9 >~ r <br />~C: <br /> <br /> <br />" <br /> <br /> <br />~ <br /> hC, ~ .--6 ~. .. <br />u . <br />G ¢~ ark tLL ,~ .p • <br />~m c (~ ~. <br /> <br />$ tr y u T. <br />~~-'. 'm <br />:0 ~ n~ D j <br /> V ~ LL ~ <br />Dti <br />$ W T L`b O <br />~ <br />o m N ~ v <br />v <br />m l <br />l <br />¢ F <br />¢'~ <br />t~ ~ <br />q <br /> <br />~n y a ao v u°i ¢ ¢ o ¢ o ~ a° <br />586E aunt `OOg6 w+od S. <br />
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