Laserfiche WebLink
III IIIIIIIIIIIII III <br /> <br /> MINED L D RECLAMATION DIVISION I\ 14197 <br /> 1313 Sherman, Rm. ] I S <br /> Denver, Colorado SOI03 DATE ~b ~ ~ ~s 9U <br /> (303) 866-3567 <br />RECEIVED $ <br />~~ <br />~ <br />~ <br /> ~,-~41~ <br />FROM <br />0 <br />~''~M <br />~~~~ <br /> O/ <br />RS <br /> ^ CASH <br /> ~-6HECK <br />FOR ~ Z ^ M.O. <br /> <br /> AMOUNT OF A COUNT ..........$ <br />Q K 0~~ <br /> AMOUNT PAID . .. .......... ..$ <br /> BALANCE DUE ......... .........$ BV <br /> <br />