Laserfiche WebLink
<br /> DIVIS OF MINERALS AND GEOLOGY J ~ 7 2 41 <br /> DA ~'19 <br />REC~ ED !/?~ ~'iG ~ <br />CJ~190 <br />~ <br />~ <br /> ~ .. <br />j <br />DOLLARS <br /> //~~y- ~ ^ CASH <br /> <br />7 C.C O / ~~ ^ MOCK <br />FOR d/~I/J <br /> AMOUNT OF ACCOUNT...........$C n~ U~ <br />Q-l <br />O ' I <br /> ~/ <br />AMOUNT PAID ........ ... ......$ <br /> BALANCE DUE ..................$ <br /> <br />