Laserfiche WebLink
T <br /> MINED LAN. .ECIAMATION DIVISION N~ ~ J 9 O 7 Z <br /> 1313 Sherman, Room 423, <br /> Denier, Colorado 80203" <br />~y <br />~ <br />Z <br /> ~9 <br />- <br />(3037) 866-3567 DATE <br /> RECEIVED FROM 1/ 37 <br /> 1 ~ c` n /~ <br />THE SUM OF _]`~Sf~ OLLARS $ ~J• ~-/f <br /> ,~jJn + ~,~p~p ^cns-~ <br />FOR ~ YX~ - (] ! / ! 7~ '~~ECrc <br />^r,no <br /> <br /> AMOUNT OF ACCOUNT..... , $ <br />Qh~2 OuI <br /> AMOUNT PAID ............... . $ <br /> BALANCE DUE .............. . $ BY <br /> <br />