_ENFORCEMENT - C1981017 ‎(10)‎

• Permit No: C1981017
• IBM Index Class Name: Enforcement
• Doc Name: Bid Documents ‎(IMP)‎ Violation CV-90-049
• Violation No.: C-90-049
• Media Type: D
• Archive: No

91-017
Card No. DIVISION OF ACCOUNTS AND CONTROL
DELINQUENT ACCOUNTS WORK SHEET
MINED LAND -
jjECI.AMA Agency
1)TVT 11 � [� u
2 Agency 7 a Type 9 to Account Number 21 I 22 I
TB
2700 �00 12 23 91
23 Balance Due 29 13o Date Last 3s 136 Adjustment42 I Cr I
Statement To Balance
21 Mid—Continent Resources, Inc. Ms. Diane Delaney 1
23 Debtor's Name Last, First) 51 52 Recipient of Service If Different 801
3 818 Colorado Ave, P.O. Box 1298
23 Address Line One 511 152 Address Line Two e01
4 1 Glenwood Springs, Colorado 1 81601 1 1945-4958 1 303
23 City,State 47 41 a Zip 52 153 Telephone 59 16o Ai ea Code 6z
—� �——� �--� If Applicable
* 1 ( I ) 49 49 I 163 691 I (r I 71 0 71 731
32 Date 37 38 Set Next 43 44 45 46 47
Promised Action Date to 1st 2nd 3rd 4th 5th 6th Amt. Comm. Status Assignment or
Letter Action Adjustment Disp. Transfer Code
/ 23 Date of Birth/Employer 511 I52 Reference 801
8
123 Reference 511 152 Reference 8 n
9*
23 Note for Next Monthly Collections Report 80
A• 23 PS J 127 CBR 30 31 D M V R--
�34 135 AC 38
Form: AC-76-04
" Line 6,9 and A is for Central Collection Use Only