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Insertion Order <br />'Del/t~a Count/y~ I~nd~~epend~/e~nt A /J <br />Bill to: ,Ll~!-~.,a_.-s~:i:~.J.e?°.'?--~ .b..<? <br />............~..~g...~1-a-,~.~5'~ ................ <br />---- --- I.Q.~.~a:,...t~aa.....~l..~L~...... - ..-... <br />Headline: ~c~-t_.x.~ ......................... ........-- -- <br />Signature: ................ <br />r <br />Run Ad on .- .....,.. ~:3 ....C~.~.~ .............. DATE <br />Repeat on: -- ..................... .......- - ... - - -- <br />Billing Instructions : ...................... ... ... ................ <br />Remarks and Notes : ..................... <br />Ad Salesman :............................................... Ad Director.-. <br />No. <br />^ Local Display ^ Color <br />^ Class Display ^ County Wide <br />^ National ^ Stuffer <br />Q~Legal ^ Class. Directory ....--...... <br />Space :........ ....... col. x ..----............ inches ..........-------- <br />..........----- inc es at (rate) --------------- $ .................... <br />- - - --- E - ....... <br />RECEIVED <br />- -S.EP..2.1..~..98q ...--..... -- . ........ ......... <br />........MINED-IAAID-REElAAtAf10N DlVIQ!!7N - <br />Colo. Dept of Natural Reagyr~ <br />.............................. Customer .............-------.....................--- <br />