REP52586

• Permit No: M1985082
• IBM Index Class Name: Report
• Doc Date: 1/20/1987
• Doc Name: 110 ENCLOSURE
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

M'iNED LAND RECLAMATION DIVra'ON N~ 0 0 8 4 9 4
• 1313 Sherman, Room 4]3
Denier, Coloredo SOZ03 DATE ~n ,.. ~ ~s .$~._
[phone] yy, ` l'
RECEIVED FROM ~_Qh~ `--~-0/1\f ~,`r ~~ ~.ltl~~l~/1CZ-
THE S((U~~M OF ~ ~i ~y ~7 n~ ~QO DOLLARS $ ~U~
FOR \AY~Y~ F'PP YYI~,S_G~ oZ.~l~ o~`~
AMOUNT OF ACCOUNT...... $
AMOUNT PAID ................ $
~'~tahl~ ~oul
'I BALANCE DUE .. ........ .....$ BY ~~nn^~ ~-YhC~ldl'~ I~~I