2013-07-12_REPORT - M1987092

• Permit No: M1987092
• IBM Index Class Name: REPORT
• Doc Date: 7/12/2013
• Doc Name: ANNUAL FEE/REPORT
• From: OPERATOR
• To: DRMS
• Email Name: ECS
• Media Type: D
• Archive: No

Jordan C. and Jone L. Burdick
Division of Reclamation, Mining, and Safety
Fee Receipt for M1987092
Receipt #: 15592
Date: 07/12/2013
Permit: M1987092
1026 14300-01 1 Minerals Annual Fees 1 $323.00
M- 1987 -092, CMB
Receipt Total: 1 $323.00
Page 1 of 1