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PAYEE DETACH THIS STATEMENT HEFORE~ OSITING <br />Mathias Concrete, Inc. <br />DATE ACCOUNT OR <br />,INVOICE NO. DESCRIPTION AMOUNT DISCOUNT OR <br />DEDUCTION NET AMOUNT <br />~/ <br />-13-Pry Gravel permit N 77-140 ECE010E 350.00 <br /> JAN 1 G 198 <br />1 <br />EMPLOYEES G11NED LAND ~iItAR414T~eh@NHt~DMc. <br />NAME <br />PAY PERIOD HOURS RATE GRO55 NET <br />ENDING EARNINGS Fco wrtr sTers wn,. EARNINGS <br /> F ~ ~ ~ TA% i~% PAID <br />OET T r\I <br />L/ ~ ~~~ ~ I'(~'~{ <br />~ Ian''\\\\,I(~11' <br /> U lJ V <br />EMPLOYEE: THIS IS A STATEMENT OF YOUR EARNINGS AND DEDUCTIONS FOR PERIOD INDICATED. KEEP THIS FOR YOUR PERMANENT RECORD <br />~• I <br />+ .MINL.~ LAND RECLAMATION DIVISION <br />1313 Sherman Street Room 423 N ~ ~ 9 8 $ <br />Denver. CO $0203 GATE I <br />(303) 866-3567 ~'g =-~- <br />RECEIVED FROM h./lmei'., "_ ~ ~ <br />Lr~ <br />THE SUM OF ~T ~~ ~~ ~~yy ,%y/yam <br />y ~ {s~e~,L" DOLLARS $ _,~ S/7 O(~ i <br />FOR Q~'1 . -gyp '~ //(.~ ~ 6 ^ cns+ <br />~~~~'/V /„•~~a O HDECK <br />AMOUNT pF ACCOUNT..... , $ I-lY U <br />~ Gn~.,T4.1 ~tiQh~Q ~pu1 <br />AMOUNT PAID ................ $ <br />BALANCE DUE . ..............$ BY _~c ~t /L ~..~~rrl O.~r\ <br />