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11 <br />BANK $ CHECKS $ CASH NET DATE ME <br />3ANS1T N0. DESCRIPTION RECEIVED BY: <br />IF ENCIRCLED <br />INDICATES CASH <br />RETURNED FOR <br />ADJUSTMENT TO <br />NET AMOUNT OF <br />ACTUAL PAYMENT. BOARD OF COUNTY COMMISSIONERS <br />JACKSON COUNTY, COLORADO <br />P.O. BOX 337 N o 13 51 <br />WALDEN, COLORADO 80480 <br />RETAIN THIS RECEIPT <br />FOR YOUR RECORDS <br />Company Name Number - <br />un <br />OVA Receipt <br />Received from ✓ $ <br />t)oilars <br />For De -,v t n�� /l/ if? Y� ` _ 1� Gi t <br />Amount of accaiint- Check <br />This payrntnt Cash <br />Balance due: Money arder <br />