Laserfiche WebLink
<br /> MINED ND RECLAMATION DIVISION ~ ~ 1631 <br /> r3I3 Sherman, Rm. 215 _ <br />Denver, Colorado 8G~03 _ -- DATE ~ " ~ 19 ~ / <br />(303) 866-3567 $ <br />RECEIVED ~~ \\ Q~1^, _ I~~ /~ <br />~ <br />~~~ <br /> L <br />M <br />M W ~~l~c7 ]LOCI X <br />Sl -I..J . <br />. <br />F <br />RO <br /> ( <br />~ <br />~ <br />1 / <br />~ <br /> lln~Q SLt~ P <br />, <br />~ <br />/ Rs <br /> ~ <br /> //~J /1 <br />G <br />//, <br />$S O K <br />~I 7 <br />~ <br />' <br />~ <br /> ~ <br />~~ (' <br />(O <br />('T O ~ <br />FOR n MM <br /> <br /> AMOUNT OF ACCOUNT...... ....$ <br />IlK ~~I <br /> AMOUNT PAID ...................$ <br /> BALANCE OUE .. ...... ....... .$ BY <br /> <br />