_ENFORCEMENT - C1981017 ‎(19)‎

• Permit No: C1981017
• IBM Index Class Name: Enforcement
• Doc Name: Bid Documents ‎(IMP)‎ CV-91-015
• Violation No.: C-91-015
• Media Type: D
• Archive: No

91-015
Card No. DIVISION OF ACCOUNTS AND CONTROL
DELINQUENT ACCOUNTS WORK SHEET
Mined Land
{ Reclamation Div.
12 Agency 71 Is Type 91 110 Account Number 21 22
TB
950 00 1 11 22 91
23 Balance Due 29 3o Date Last 35 36 AI djustmenta2 I Cr I
Statement To Balance
I Mid—Continent Resources, Inc. I Ms. Diane Delaney 1
123 Debtor's Name (Last, First) 152 Recipient of Service If Different Sol
818 Colorado Avenue, P.O. Box 1298
3 23 Address Line One 511 152 Address Line Two 801
Glenwood Springs, CO 1 81601 ' 945-4958 303
23 City,State 47 ae Zip 52 E53 telephone 591 Lo Area Cocle 62�
If Applicable
g* 1 I I 1 1 I I I I I I 1_ 1 1
32 Date 37 39 Set Next 43 44 45 46 47 46 49 63 69 Cr 70 71 71 73
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 sl 52 Reference Sol
8 23 Reference 51 52 Reference Sol
9*
23 Note for Next Monthly Collections Report eo
A-
23 PS J 27 CBR 301 131 DMVR 34 135 AC 3e
Forin: AC=76.04
" Line 6,9 and A is for Central Collection Use Only