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uraiial junction an■b`X, A 86\3V32�aaiM,�FfCi � �303361 <br /> C. 0 L 0 R A D THIS CHECK MUST BE PRESENTED FOR PAYMENT WITHIN <br /> FINANCE DIRECTOR 90 DAYS FROM THE DATE OF ITS MAKING AND,UNLESS SO <br /> TAX EXEMPT NUMBER 98-03544 82-123/1070 PRESENTED,WILL BE CANCELLED WITHOUT NOTICE TO <br /> TAV O D THE PAYEE OR HOLDERTHEREOF. <br /> DATE ��#� l��S{(J AMOUNT <br /> 07/09/2020 aww7^ S /cJ $1,258.00ad <br /> 0 <br /> One Thousand Two Hundred Fifty-Eight and 001100 Dollars m <br /> AMOUNT OF 2 <br /> no <br /> PAY TO THE <br /> ORDER OF Colorado Division of Reclamation Mining & Safety <br /> 1313 Sherman St., Room 215 <br /> Denver, CO 80203 -� <br /> FedaK® USAirbill Express 8673 1696 3888 0200 �D,,a reuEx Retrieval Copy <br /> - akemaon• — —s <br /> I 1 From 4a Express Package Service Packages up to 15(llbs. <br /> Sender's FedEx `�� <br /> �,' ��- " j FedEx Priority Overnight FeoLx atanaara GvEnuyht FedEx Fothasn Overnight <br /> Date Account Number N nb B'Friday 51 Senn Erb,m pecan-- <br /> shipments will be delvered on Monday Saturday Delivery NOT available. delrveryta select lncadons' <br /> unless SATURDAY O ry- t d. Saturday Delivery NOT available. <br /> Sende's FedEx2Day - Fed <br /> Name Name Phone 3 seaondbasnes:day.Tn d y 20 L Thimbasnesaay <br /> —"---- ---- -- ----- `shpreents will be delivered a,Minulay Saturda10eWary NOT available. <br /> j nless SATURDAY Delivery s selected. <br /> 1 FedEx Envolnpl-ag"ntavailable.Minimumcharge.One"pouiuing,. — 'To mostlocauar, <br /> Comnda�_ Q Express Freight Service Packages over 150lbs. <br /> M ❑ FedExlDa�Freight* n FedEX2DaXFreight - FedEx3Da�Freight <br /> M 7 Nen liamnees y"Fnday 8 L J Socond business day.'Thursday 83 ThiN business y" <br /> M Shipments vnll be delivered on Monday shipmentsvell he delivered an Monday J Saturday Delivery NOT available. <br /> M aLIarUSS <br /> unless SATURDAY Duiveryis selected. unless SATURDAY Dahveryis selected. <br /> "Tit most locatinaz, <br /> � DeptJRoorBuae/Aoam I n <br /> o K Packaging J Includes FedEx Small Pak, I.—I BOX <br /> CD <br /> � City-- -- State ZIP s r FedEx 2 FedEx Pak 3 FedEx 4 rj FedEx 1 L'Other <br /> -- m <br /> X FedEx LargePakandFadExSturdyPak. Tube Q <br /> LlJ 'D Declared none SW CD <br /> 2 Your Internal Billing Reference 6 Special Handling g — Include I'll address in Section I O <br /> c D 3 To SATURDAY Delivery HOLD Weekday HOLD Saturday <br /> 0 3❑ Natavoilablefor at FedEx Location 31 I atFedExLocahon <br /> CD Recipients FedEx Standard Ovemighh Notevulablefor Available ONLY Ior Fntl6 Pita ry <br /> o? Name Phone s FedEx first Overnight Dvern,at and Fall,008y, <br /> FedEx Firm Overnight Express o <br /> ------ ------ -� -------- Saver or FedEx May Freight. <br /> ---'— -- to select locigna x. <br /> Does this shipment contain dangerous goods? o <br /> E F— One box must be checked — <br /> Company No 4 C Yes Yes s Dry Ice x <br /> L) -- --- Aa nacnea _1 sbl rsoaelaranan <br /> X pare ppe Dryme,s,uNuus---x <br /> Shippa(soeaiaraeon ert egwred. <br /> CD Dan ercus goods including tl ryu,rn cilanat be shuppedni FedE.packaging Cargo Aircraft Only o <br /> -a Recipients � <br /> a) Address __ 7 Payment wino: Obtain Recip w <br /> We cannot deliver to PO.boxes or Re ZIP codes. Depffloor/Sune/Room (-- Emir FedEx Ances Na.or Cmdll Card No.Ielew.—� ACCt No. w <br /> 1 AQONo 2 L] Recipient 3 L_I Third Party 4 Cred t Card 5❑ Cash/D, <br /> Secbon twill <br /> Address be biged <br /> To request a package be hold at a specific FedEx location,print FedEx address here. <br /> TotalPacka es Total Wei Won <br /> - <br /> State ZIRr�ai1\I� i g 9bttour liability is limited toSlOD unless you declare a hlghorvalue.Seetheis c m e ordeteils. Credit Cam Ruth. <br /> .,JUL 294Q?Q 8 Residential,Delivery Signature Options dyoa regwreasignatmx checklimrtnrindvecl. <br /> _,. No 9igti enure DNran..gP.af.. Indirect Si nature <br /> i,I,`rNI ON OF RECLA TION Reka ermd b can 10❑ 34[' Ate° qhbaddress,a e ;someone 5 2 0 <br />