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STATE OF COLORADO <br /> MINED LAND RECLAMATION DIVISION o4 Co <br /> Department of Natural Resources <br /> 1313 Sherman St..Room 215 <br /> Denver,CO 80203 <br /> 303 866-3567 '/876 a <br /> FAX: 303 832-8106 <br /> Roy Romer, <br /> Govemor <br /> Fred R.Banta, <br /> Division Director <br /> FACSIMILE TRANSMITTAL COVER SHEET <br /> This Digital Facsimile Transceiver is an OMNIFAX Model 9SHM. It is <br /> located at 1313 Sherman Street, Room 215, Denver, Colorado 80203. It is <br /> a type G-3, automatic machine. Questions concerning specifications for <br /> transmission of documents should be addressed to the Colorado Mined Land <br /> Reclamation Division, at (303) 866-3567. <br /> The FAX Machine telephone number is (303) 832-8106. <br /> TO: NAME: i ((fk e <br /> COMPANY/AGENCY: <br /> FAX NO: Z:10 <br /> FROM: NAME: <br /> P ROGRAM: � <br /> NUMBER OF PAGES TO FOLLOW: DATE: <br /> TIME TO BE SENT: ASAP ✓ or NIGHT RATE <br /> MESSAGE/TO /RECIPIENT: <br /> Ix� <br /> �`t✓�t,c f `�u�-t,vtGici G�y G[L�.T / ,7J <br /> 2235F <br />