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4 x x-x x x x sx x a: x x x x . • • <br /> i High Country Bank 26822 <br /> 4 Butala Construction 92-70"13021 <br /> i' 9000 Co.Rd 152 <br /> i Salida,CO 81201 9/6/2023 <br /> PAYTO THE i ORDER OF Mined Land Reclamation Board "*5,000 00 <br /> { Five Thousand and DOLLARS <br /> I <br /> Mined Land Reclamation Board _ <br /> { DRMS Room 215 VA! <br /> 1001 E 62nd Avenue tH y, p <br /> Denver, CO 80216 A! <br /> {, MEMO !!IrAIID. , <br /> AUTHORIZED SIGNATURE <br /> M-1977-170 Civil Penalty Payment <br /> 3-t_�Idl'0 268 2 21in i: 30 2 L 7046 3t:0 L L8084600lie <br /> . �- �4 SS <br /> •x• x-x x x _� x x s T x _c x __ - x x x x x a- x-m x x x x x x x __ .. x x a x x x x x _.. : x x x x ._ .�t x x a: x x x <br /> Butala Construction 26822 <br /> Mined Land Reclamation Board 9/6/2023 <br /> Date Type Reference Original Amt Balance Due Discount Payment <br /> 8/31/2023 Bill 5,000.00 5,000.00 5,000.00 <br /> Check Amount 5,00000 <br /> RECEIVED <br /> SEP 12 2023 <br /> Colorado Division mining and Saferymation, <br /> CHECKING M-1977-170 Civil Penalty Payment 5,000.00 <br />