Laserfiche WebLink
<br /> MINED LAND RECLAMATION DIVISION N 0 O O 9 8 Z 1 <br /> 1313 Sherman <br /> Denver, Colorado 80103 "' ~ DATE 3 ~ ~ ~~ 19~ <br /> (303) 866-3567 <br /> RECEIVED ~ (~ __ ~ ~ $® <br /> ~~ ~ /l.K[ 1 <br />FRO <br />M <br /> y <br />p <br />U <br /> ~c sY,'~l r <br />~ <br />~ ~~ -DOLLARS <br /> -7~ <br />V ~- ^ CASH <br /> " •~1 ` `@£llECK <br />FOR o~ `~ ~ 5 ^ M.O. <br /> <br /> AMOUNT OF A OUNT....... ...$ <br />Q <br />~ ~ <br />! <br /> II <br />U <br />V II <br />AMOUNT PAID ......... .........$ J IAII <br /> BALANCE DUE ........... .......$ BV <br /> <br />