Laserfiche WebLink
iii iiiiiuiiiiu iii <br />999 <br /> <br /> DIVISION OF MINERALS AND GEOLOGY N °_ 2 4 O 7 ~ <br /> DATE ~ ~ Z 19 r~ <br /> / n I' I r' <br />FROM ~/ .~ [J.' ~J l.W"~~/~l ~CP~/rl-L,~G ~ ~ $ ~JLJ C <br /> -~- G~ - <br /> ~ <br />^ CASH <br />(~ n I `` cy 9~CHECK <br />f-0R (~/ rirtri IL 9~U - ~ 7 ' J ~~ / O M.O. <br /> 1 <br />AMOUNT OF ACCOUNT........ .$ <br />~ <br />U I <br /> ,U <br />AMOUNT PAID ......... .........$ <br /> BALANCE OUE ...... ............$ BY <br /> <br />