Laserfiche WebLink
MINED ND RECLAMATION DIVISION r '' 012674 <br /> ~3 Sherman, Room 215 <br />Denver. Colorado 80203 ``~/ ^~ <br />arE~i9 ~~ <br /> 66- 567 <br />( <br />30 <br />3) <br />8 n <br />I/1 <br />EO n/ <br />0,~ A y^ <br />~ <br />~ <br />~ <br />~ . ,,~ <br />$® <br />T~ <br />FR <br />M <br />O _ <br />OM(X~X~: <br />r <br />I '• UJC • <br />XL~c A /~ <br />~ <br />{ <br />- ~~ <br />` <br />1 <br />T ~.}~~iU '~- DOLLARS <br />` <br /> I 4H <br />^ OA <br />FOR (~M/V\ -' M p J ` <br />~XSl /~ 1- Ong -I 1 ~ <br />aLl~7~ ^TAHp K <br /> <br />AMOUNT OF A OUNT...........$ QII IG ~ul <br />rl <br />AMOUNT PAID . ......... .. .....$ <br />BALANCE OUE .. ..... ...........$ BV <br />