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<br />Y <br />• <br />• ;3R INTERNAL USE ONLY <br />Date Recd Completed <br />Results: <br />cit / <br />Computer Mapped Unproc. <br />Invoice li Date <br />COLORADO <br />Cost <br />SOCIETY <br />Request by Mail Phone <br />The Colorado Heritage Center 1300 Broadway Denver, Colorado 80203 <br />SITE FILE SEARCH REQUEST* <br />County Township Range Sections. USGS 7.5 MIN Quad Name(. <br />l~J L_~__W L,W LW LW W W W .J <br />IW LAW Lu~1 1___.__I WJ W WJ WJ <br />ICI l.~_,_.1 WTI WW WW W LW W.J <br />W L~_.W WSJ W 1___,__I W W1J W <br />INSTRUCTIONS: Please provide the county abbreviation, township, range, and appropriate <br />sections defining the project area plus name of the USGS quad map on which the area is <br />located. If possible, submit a map with the area plotted. Complete all applicable <br />information requested belov. <br />AUTHORIZED SIGNATURE: <br />NAME <br />Print or Type <br />ORGANIZATION: <br />DATE: <br />TITLE: <br />TELEPHONE: <br />DIVISION: <br />ADDRESS: <br />Number/Street or P.O. Box <br />City <br />LEAD GOVERNMENT AGENCY: <br />PROJECT TITLE AND NUMBER: <br />State <br />YOUR REFERENCE NUMBER (purchase order, etc.) <br />Zip <br />REASON FOR REQUEST <br />REMARKS: <br />*See other side for example of completed request, county abbreviations, and additional spac <br />PLEASE PHOTOCOPY THIS FORM FOR YOUR FUTURE USE. <br />MAIL T0:_ Office of Archaeology and Historic Preservation, 1300 Broadvay, Denver, <br />Colorado 80203 <br />ATTN: Site File Request <br />Form 912 <br />Rey. 1/II6 <br />