Laserfiche WebLink
<br /> DIVISII,,. OF MINERALS AND GEOLOGY IV~ <br />72H1 <br />~ <br /> ~ <br />p <br />DarE ---Lt-i ,i i s~ <br />RECEIVED / ~ $ ~J/J <br />FROM ~ ~ Cwt/ f G <br /> <br /> GAD ~ o ~~, <br /> ~/y) ~//J /~ ^ CASH <br />FOR ~~~ / ~ ~ %) / ~~ /~ ~ CHECK <br />^ M.O. <br /> <br /> AMOUNT OF ACCOUNT.. ........5 <br />a~ ~ou! <br /> AMOUNT PAID ...................5 <br /> BALANCE DUE ...................5 <br /> <br />