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.. 4 r` <br /> r ' <br /> STATE OF COLORADO <br /> MINED LAND RECLAMATION DIVISION of <br /> Department of Natural Resources �— <br /> Nam/ �90 <br /> 1313 Sherman SC,Room 215 <br /> Denver,CO 80203 •�* <br /> 303 866-3567 '1876 <br /> FAX: 303 832-8106 <br /> Roy Romer, <br /> Governor <br /> Fred R.Banta, <br /> DATE: MAY 1, 2000 Division Director <br /> TO: Administrative Services <br /> FROM: Debbie Mulloy, Staff Assistant <br /> RE: Request for Refund and Distribution of Prior Deposited Funds <br /> Request Warrant Payable to: <br /> Net Refund Amount $ 900.G10 from Agency PKA, Fund 900, BS Account <br /> o2 7,10 -E"&, Rptg Cat. 2603. <br /> Interest Due $ /3 from Agency PKA, Fund 100, Cash Acct 1100 , Appr.. <br /> Code 011 , GBL 110D, Program MNRC. <br /> Penalty Deposited $ 106-D, 00 Date: <br /> Deposit Doc. ID e96 —/03 Adjusted Penalty Dc_-) <br /> REFUND AMOUNT //�, (includesinterest from <br /> Interest Rate Ud �F6� �� 5!��' <br /> OD �i,/ <br /> 00'�z 13/ <br /> PLEASE SENT WARRANT TO THE ATTENTION OF DEBBIE MULLOY, ROOM 215 , CENTENNIAL BLDG. <br /> JILL MC EMORE, BUDGET ,ANALYST <br /> MINED LAND RECLAMATION INFORMATION ONLY : <br /> Company: - <br /> Adaress: lJ�`ST �Zl� 1'l/�✓� / 7 , <br /> File No.: <br /> --'P6 -007 Violation No . 7(/ 7 <br /> Warranty Received: Warranty Mailed <br /> 4799F <br />