Laserfiche WebLink
~ i <br /> MINE AND RECLAMATION DIVISION 0 15570 <br /> ~-1313 Sherman, Rm. ] I S •-.. - <br /> q~~ <br />Denver, Colorado 80203 _ DATE S ~ 13 t s_i_ <br />((303) 866-3567 • .. <br />~ <br />$ <br />~ <br /> V- 1 J <br />x.(~~, Cl~ <br />FROM <br />3.(/. W <br /> ~~ <br />1' R$ <br /> <br /> / <br />^ CASH <br /> ,.( <br />n /~J ~/ <br />FOR CLiN.M Vl--c~ /'/~ ~' ~nY 3~OIn 'CHECK <br />^ M <br />O <br /> . <br />. <br /> AMOUNT OF AC UNT ..........$ ~ ,I I <br />AMOUNT PAID ....... .. .. .....$ lA ' <br /> BAIANCE OUE ........ ..........$ BY <br /> <br />