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• iii ii~~ii~ii • <br />STATE OF COLORADO <br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Nat ural Resources <br />1317 Sherman 51.. Room 215 <br />Denver, Colorado 80203 <br />Phone (3031 866-3567 <br />PA%: (3031 83 2-81 06 <br />October 29, 1996 <br />Harriet S. or David G. Graham <br />309 Prospect <br />P O Box 66 <br />Cripple Creek CO 80813-0066 <br />PERMIT #M-96-081--APPLICATION FEE <br />I~II~ <br />DEPAR'T'MENT OF <br />NATURAL <br />RESOURCES <br />Roy Ramer <br />Governor <br />lames 5. Lochhead <br />Ezecunve Director <br />Michael B. Lang <br />Division Director <br />Your check No. 3925 in the amount of $875.00 submitted for the <br />application fee on M-96-081 was returned to the Division of <br />Minerals and Geology marked "DRAWN ON UNCOLLECTED FUNDS-NSF". <br />A cashier's check in the amount of $900.00, which includes a <br />$25.00 service charge, must be received by our office before this <br />application can be completed. <br />If you have any questions regarding this .matter, please do not <br />hesitate to contact this office. <br />Carol Walso, Accounting <br />g 8794 <br />RECEIPT D <br />~~'31 v 19~No <br />t <br /> . <br />a <br />e <br />e Received From ~ tl`~ t ~ /~Q <br /> J <br /> dr~ress <br /> 4 ~ L~ Dollars $ ~ <br /> ~7Q1L <br />-O~I ` <br />~ <br />Ji <br />CP <br /> c <br />, <br />7 <br />t <br />For <br /> ~ S75 cm ~ 2s. °° <br /> ACCOUNT HOW PAID <br /> AMr. OF CASH <br />~ ACCOUNT <br />I <br />TILL <br />~ qMi. PAID CHECK o/ /J <br />~ BAUINCE MONEY ~ // ~~ Q /I <br />