Laserfiche WebLink
<br /> MINED LAS' ZECLAMATION DIVISION N~ 18398 <br /> 131~_.herman, Rm. 215 - 12 ~ ~ <br />Denver, Colorado 80203 r. '• DATE / 19 <br />(303) 8 -3561 $ <br />RECEIVED <br />~ <br />~ <br /> ~+ ' <br />FROM Z <br /> <br /> DOLLAR <br /> <br /> (~ ~~~ eenn (~ `~ ^ CASH <br />FOR u/~ ~/~ ~ Jp ~ /Y/ ~6 O ~ ~~ ~ ~ `J.3 ~9.CtlECK <br /> <br /> AMOUN~COUNT. ... .....$ I_ O I <br />~! <br /> AMOUNT PAID <br />$ <br /> .. ...... ..... .. <br /> BALANCE DUE .. ...... ...... ..$ BY <br /> <br />