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REP17085
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REP17085
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Entry Properties
Last modified
8/24/2016 11:46:12 PM
Creation date
11/27/2007 2:02:37 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M1980049
IBM Index Class Name
Report
Doc Date
2/13/1989
Doc Name
110 ENCLOSURE
Permit Index Doc Type
ANNUAL FEE / REPORT
Media Type
D
Archive
No
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~ iii iiiiiiiiiiiu iii • <br />~9 <br />• <br />r~,r _ %~,.~ _ - - ~~1.10 Enclosure <br />(1 lY L~ <br />Permittee Name: <br />Permit No: <br />Operation Name: <br />Anniversary Date: <br />Richard D. Mott <br />M-80-049 <br />Mott Gravel Pit <br />02/18/89 <br />FtB 13 1989 <br />Please complete the following and return this form with your fees and <br />reclamation data. <br />Enclosed are: (Check space(s) below) <br />--- ~ - Check- or- money- order-payable to Colorado Mined-land Reclamation <br />Division for annual fees due <br />Annual Report <br />Remarks: <br />MINED LAND RECLAMgTION DIVISION <br />1313 Sherman N~ Q Q 9 6 6 2 <br />Denver, Colorado 80203 <br />..~ _(303) 8~6-3567 DATE ~ " I~ ~y~ <br />RECENEO ~ ^ 11 (~,~ ~ ~ J~ ~ <br />FROM t'°-V~(! n, li ~ 1 a'~j $ r•F r~ .. I <br />~-( 6.1 _ n-1/ Jam, ~?~ <br />FOR ~~ ~n ~ _ ^ CASH <br />D 9~CHECK <br />AMOUNT OF ACCOUNT..... .....g ~ M.O. <br />AMOUNT PAID ............. ... .S By ~.L'J o~ OU <br />BALANCE OUE ...................$ <br />Signature <br />(Rev. 06/88) <br />0052f <br />
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