Laserfiche WebLink
t <br /> RECEIVED <br /> JAN 0 A 7074 <br /> Colorado Division of Reclamation, <br /> Mining and Safety <br /> 003265 <br /> Chamberlain Enterprises, LLC 82-293/1021 <br /> 29242 Co, Rd 35 WB&r�;S�tate 13�ank <br /> Wray, CO 80758 300 Clay St•P 0 Box 277•Wray.Colomdo 80758•(970)332-4111 <br /> (970)332-4355 <br /> DATE 01/05/2024 <br /> PAY TO THE <br /> ORDER OF Division of Reclamation Mining and Safety $ "500.00 <br /> Five hundred and 00/100..,#,x.,..*...... ... ...................x.>*, ...,.. z.,.,.<..,.<,,,....x*....x..,....k.... DOLLARS <br /> Division of Reclamation Mining and Safety <br /> DBMS Room 215 <br /> 1001 E 62nd AVE. <br /> e Denver CO 80216 f`LYI I ( ( j(�ou � ) <br /> Memo 1 n 2�I C ,r <br /> AUiNORIZEC SIGNATURE <br /> PAC 15gct0 a■0032ESlim 1: 10 2 10 29 3 21: 101 720 20 <br />