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Exxon Mobil Corporation <br />Or An Affiliated Company <br />P. 0. Box 2519 <br />Houston, TX 77252-2519 <br />EXAPP-S402-000038-10190411-00010-M000002 <br />COLORADO STATE OF <br />DIV OF RECLAMATION MINING & SAFETY <br />RM 215 <br />1313 SHERMAN ST <br />DENVER, CO 80203 <br />CHECK DATE CHECK AMOUNT <br />10/19/2010 $791.00 <br />CODE OUR REFERENCE DATE YOUR REFERENCE NET AMOUNT <br /> 10/13/10 $791.00 <br />CHECK TO COLORADO DEPARTMENT OF NATURAL RESOURCES <br />Payment made per agreement with ExxonMobil contracting entity. Refer inquiries <br />to 1-800-833-1510 or check payment status at www.payment-advice.com <br />'INCLUDE PAYEE ID NUMBER CHECK # <br />WITH EACH <br />INQUIRY <br />DETACH AND RETAIN THIS STUB FOR YOUR RECORDS <br />Exxon Mobil Corporation <br />Or An Affiliated Company <br />P. 0. Box 2519 <br />Houston, TX 77252-2519 <br />Seven hundred ninety one and 00/100 Dollars <br />PAY TO THE COLORADO STATE OF <br />ORDER OF DIV OF RECLAMATION MINING & SAFETY <br />RM 215 <br />1313 SHERMAN ST <br />DENVER, CO 80203 <br />CITIBANK N.A. <br />ONE P PAYEE ID NUMBER <br />ONE ENNS WAY, NEW CASTLE, DE 19720 <br /> <br /> ATTACHED BELOW <br />CHECK #: <br />62-20 CHECK DATE: 10/19/2010 <br />311 <br />PAGE 1 of 1 <br />CHECK #: <br />CHECK DATE: 10/19/2010 <br />........... $791.00 <br />VOID AFTER SIX MONTHS <br />AUTHORIZED SIGNATURE <br />