Laserfiche WebLink
<br /> <br /> <br />~~I II~I~~II~II~~ II~ <br /> <br /> MINED LAND RECLAMATION DIVISION N p 2 2 4 7 2 <br /> 1313 Sherman, Rm. 215 ~~ n?? <br />Denver, Colorado 80]03 DATE ~ ~~a t9 7J <br /> 1 t (303) 866-3567 $ <br />RECEIVED v n ~1 <br />1. L <br />o~ ~t/ <br />F <br />RO~ <br />M/ <br />n <br />~ <br /> ~ ~ <br />/ <br />/ <br />, _ / ~ <br />I _ <br />/(i.t(7 T~LL,i(~'~~ S,crG`f tCl,J~~ Y <br />LCfJooLLARs <br /> / <br />1 <br /> ^ CASH <br />! <br /> V <br />/ p 1~/ <br />1 1 <br />FOR~7'IiI~~U G(.~ r)I'a?S7/~Sle/a SS/e7LD/e~~o.7 1/Jy~~ocK <br /> ass a~ arp~ a~i WSJ <br />AMOUNT 0 ACCOUNT...... ....$ I^ I1 <br />' <br /> ~K QU <br />AMOUNT PAID .......... ......$ <br /> BALANCE DUE ........ ........ $ BY <br /> <br />~-psi-asy <br />r~~ "d~~ <br />~~ -as`~ <br />6~ "~~Os <br />~~ ~ ~(P~ <br />~ ; - ,~ (~ 3 <br />5I - ~~~ <br />~~ - a ~ i' <br />~i <br />~, <br />~? / <br />~Y ~ a <br />~~~ <br />