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P A V E E DETACH THIS STATEMENT BEFORE DEPOSITING <br />Asphalt Gravei Products, Inc. <br />DATE ACCOUNT OR <br />INVOICE NO. ~~ <br />DESCRIPTION AMOUNT DISCOUNT OR <br />DEDUCTION <br />NET AMOUNT <br /> Annual fees -Permit #78-271 350.00 <br />EMPLOYEE'S Asphalt Gravel Products, Inc. <br />NAME <br />PAY PERIOD HOURS RATE GROSS NET <br />ENDING EARNINGS rcD wrtrv siwiC w~iM EARNINGS <br /> FiC , iA• TAR PAID <br /> REG T. <br />O. T D ~ ~ ~ ~ ~ n n <br />l <br />,\\VI <br />~ <br /> u <br />V <br />EMPLOYEE: THIS IS A STATEMENT OF YOUR EARNINGS AND DEDUCTIONS FOR PERIOD INDICATED. KEEP THIS FOR YOUR PERMANENT RECORD <br />.._ - i_ 1 <br />MINED LAND RECLAMATION DIVISION NO 0717 <br />'1313 Sherman Street Room 423 <br />Denver, CO 80203 DATE ~~ is ~~ <br />(303) 866-3567 <br />RECEIVED FROM ~~o._~-~ C7 f~~i..C `ILP~eQaas~~ Z-n ~, <br />THE SUM OF DOLLARS $ .SSO~ Cl0 <br />^ cAS.i <br />FDR 0.'r . qtr -7 g_ 7`1 I S3Z1 o aDK <br />AMOUNT OF ACCOUNT...... $ <br />~-~~ ~tQn(2 Ou( <br />AMDUN AID ................ $ <br />BALANCE DUE ............... $ - BV ~ ~ t I V"r~-'.~ <br />