Laserfiche WebLink
iii iiiiiiiiuiii iii <br />999 <br /> <br /> <br /> DIVISION OF MINERALS AND GEOLOGY Np 7204 <br />DATE~19~ <br />RECEIVED ~ $ <br /> FROM E <br /> ~ <br />~ <br />~~ <br /> TARS <br />~ <br /> / <br />~v _~/j_ ~ J <br />'/ C~l <br />~(/ <br />FOR /~'~Y // CC/~ ~(//~..//L/ ^C ECK <br />n ^ O. <br />AMOUNT OF ACCOUNT.... ... ..~ ~~ /'~ ~oU! <br />AMOUNT PAID .......... .... .....$ `lJA <br />BALANCE DUE ... ... ..........$ V <br /> <br />C L U I C.- ~J~v.tG3 l.'~ <br />~o~ n-~t S~o~3 <br />