REP35592

• Permit No: M1977141
• IBM Index Class Name: Report
• Doc Date: 12/1/1982
• Doc Name: RECEIPT
• From: DMG
• To: ANDESITE ROCK CO
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

~1DESITE ROCK COMPANY P.O. BOX 829-3135.PHILLIPSAVE.-SIOUX FALLS, SOUTH DAKOTA•57117
iiiiii-iuiiiiiiiii
VENDOR NUMBER DATE 'DICE NUMBER INVOICE AMOUNT DISCOUNT NE7 AMOUNT

0401581 12/01/82 77-141 X350.00 :..00 R3i0.00
f
Please Detach This Sroremenr Before Depositing Chec4. TOTAlS~ 350.00 •Ol) 350.00
MINED LAND RECLAMATION DIVISION NO 893
1313 Sherman Sveet Room 423 - IV J
Denver, CO 80303 DATE t7-17n ~s~_
[phone]
RECEIVED FROM
THE SUM OFD 1wr+ gOLLARS $ ~SO.O r>
-~1~ ~ ^ cns.
FOR C~.v, . 'til ~~ - I ~ I d~ Z Z Z ~r .ECK
^ M.O
AM[~O~UN~T~/~O~F~ ACCOUNT...... $ ~ I
AMOUN P ri0 .......... ... $ V YlQll~ OU.
BALANCE DDE ..... .......... $ BY ~ \ fU.~vr~o-!~
M"+VED LAND RECLAMATION DIVI J N~ 2859
-1313 Sherman Street Room 423`"
Denver, CO 80203 GATE t2 z~{ iB 8'~
[phone]
RECEIVED FROM
THE SUM OF L VVS.CC ~....-.~.-0. e~ I , (y; _ DOLLARS $ 3~O C~(1
~ ~ `-~ ~ '~~ U~U "~Vr cusN
FOR _Q!rl~-Cp ~~ ' I ~ ~ bl ~-I 1 ~ECK
^M.O.
AMOUNT OF ACCOUNT...... $
AMOUNT PAID .......... ......$ rv~~Q•`~ ~OUI
BALANCE OUE ............... $ BY ~~, ` C~f./YV~o-vim