2010-01-21_REVISION - M2005006

• Permit No: M2005006
• IBM Index Class Name: REVISION
• Doc Date: 1/21/2010
• Doc Name: Affidavit of publication
• From: Marvin Moore
• To: DRMS
• Type & Sequence: AM1
• Email Name: GRM
• Media Type: D
• Archive: No

MOFFAT COUNTY CLERK AND RECORDER
221 W., Victory Way
Craig, CO 81625
[phone]
MINING/ RECLAMATION FORM
File Number 5q?)
Drawer Number
Return Date
Date 1 Q ?D
Received From L? `v/-, Lj Eftd©
Mailing Address__) ? 70?'`'?`t7--C-i?
Iv(orr/k- ( -t-j oz>'l "I SSroP j t-2- -s
Mining and Reclamation Application for:
?ng?
Name of Pit or mine:
Date on which inspection period is over and application may be retrieved by
Applicant:
Agent Signature:
For: r = F? ?J mil, at 5 02 S
Attest: County Clerk or Deputy: zzQ t