Laserfiche WebLink
<br /> MINED L )RECLAMATION DIVISION N~ J 0 8 4 9 0 <br /> 13is Sherman, Room 423 <br />Denver, Colorado 80203 <br />A <br />~ 7 <br />~ <br /> TE <br />s <br />D <br />(303) 866-3567 <br /> ~ _^ ,,-`{-- <br />~ <br />, <br />RECEIVED FROM ~ ~ ~(~1 \/T LiIW'1 <br /> (7~ <br />~ <br /> ~ <br />. <br />THE SUM OF ° a' DOLLARS $ <br /> <br /> FOR ~\ /~ ! ~ ~ f ". 7' / ~~~,p rn.a cK <br /> AMOUNT OF ACCOUNT...... $ <br />nIe oul <br /> AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ BY <br /> <br />