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INVOICE NO. INVOICE DATE PREFERENCE irk:,e _ DISCOENf'�' `NET AMOUNT.
<br />261 S .02/12/15 AGPL- ICAT_4*
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<br />701.3 3023 3600 0798 016'
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<br />iM OF
<br />KIRKLAN AST SOURCE BANK �t' t y " +'
<br />D CON t P.D. BOX'1602• r ' aR
<br />CONSTRUCTION LLLP , SOUTH'BEND.IN46634" R,. Epg
<br />P"O, BOX 580 ' . =�- ,Z,in,2' <..
<br />RYE, CO 81069 _
<br />•VENDOR NO.K CHECK NO. • :'' CIS
<br />- 4476 - IP118 :307` Q1;
<br />EIGHT HUNDRED NINETY- EIGHT' DOLLARS AND
<br />'DIV OF. REC, MINING, &._SAFETY
<br />THE 1313 . SHERMAN TiS , RODI _ 15 ,: 3 • .. ',
<br />DER OF . DENVER "'CO '80803 '
<br />7JOu��KJ•
<br />GE
<br />
<br /> Ill■
<br />7. Name of owner to the subsurface rignts oz_ axteaea tanu:
<br />8. Tvpe of mining operation: [71 Surface [a Underground In -situ
<br />9. Location information: The center of the area where the majority of mining will occur:
<br />CO _ Grand
<br />PRINCIPAL MERIDIAN (check one): �. 6th (Colorado) 10th (New Mexico) Ute
<br />SECTION (write number): S 16
<br />TOWNSHIP (write number and check direction): T 1 North �_ South
<br />RANGE (write number and check direction): R 80 i East I ✓ West —
<br />QUARTER SECTION (check one): lvE _ NVV ✓ SE SW
<br />QUARTER/QUARTER SECTION (check one): ; N'E NW 1 ✓ SE Sw
<br />GENERAL DESCRIPTION: (the number of miles and direction from the nearest town and the approximate elevation):
<br />7 miles south of Kremmling Qolorado, 75851
<br />Office of Office of
<br />Mined Land Reclamation Denver x Grand Junction - Durango Active and Inactive Mines
<br />". �' '�: die � "•• i
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