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STATE OF COLORADO <br />DIVISION Of MINFULS AHD GEOEOGY <br />GeP+rtmem of Nnuol Rew.rce, <br />1 )II SM1erman L Poorn !IS <br />Orn.~r. (O aOHI1 <br />Vrvre OOIr wA~156] <br />I~R I10111I]~E I06 <br /> <br />York Request Fore 0 ASAP 0 confldentlhl <br />Requested by: I Prolec t: <br />Date/Time 1n: I Due Date/Time: <br />Yord Processing/Typing <br />0 Letter 0 Memo 0 Report 0 <br />0 Tape for transc rlptfon by (date) <br />0 Single space 0 Double space 0 WordPerfect 0 Officewrl ter <br />0 Final copy 0 Draft copy 0 _ 0 Convert to Yang Doc <br />0 Letterhead 0 P1 aln paper 0 <br />Copying/filing <br />0 Please make copies; return origl nal to <br />0 01 str1bute copies to names listed below <br />0 One-sided copies 0 Two-sided copies <br />0 Plain paper 0 Letterhead paper <br />0 File attached fn file <br />0 Please make new f}le: <br />Folior-up, Routing, Other Actfrftfes <br />0 Route to (name/address): <br />0 Other: <br />U Person to route to in case of orl gl nas absence: <br />