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PLEASE DETACH BEFORE DEPOSITING CHECK <br /> INVOICE DESCRIPTION/INVOICE NO, GROSSAMOUNT DEDUCTIONS NET AMOUNT <br /> DATE <br /> I <br /> 5/31/84 Annual fees due 3350.00 <br /> RECEIVED <br /> J JN 41984 <br /> MINED LAND RECLAMATION Dsvil ION <br /> Colo. DePt of Natural Resource; <br /> MINED LAND RECLAMATION DID" -)N NO 1664 <br /> 1313 Sherman Street Room ,_ 1 <br /> Denver, CO $0103 DATE I 1 —19 -44 <br /> (303) $66-3567 <br /> RECEIVED FROM <br /> J <br /> THE SUM OF Y ��"� ! I DOLLARS $ > •n <br /> ❑Cns <br /> I[Fu+ECK <br /> FOR Q ! " � U1l In 4//��hQ ❑mo <br /> AMOUNT OF ACCOUNT......$ Ilk oul <br /> AMOUNT PAID................$ �"> <br /> BALANCE DUE...............$ BY <br />