1997-08-13_REPORT - M1977170

• Permit No: M1977170
• IBM Index Class Name: Report
• Doc Date: 8/13/1997
• Doc Name: CHECK
• Permit Index Doc Type: ANNUAL FEE / REPORT
• Media Type: D
• Archive: No

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SAIJD„COMOL A.81201
:'u,GEAuQust 13 , 1997
PAY . . .. . .. . .... .. Dounaes 550.00
TO THE ORDER OF
of Minerals R Geology
1313 Sherman Street Rm 215
Denver, CO 80203 NON-NEGOTIABLE
L -1 AUTHORRED SIGNATURE
W02111030 43021, 016634OiW0846000
..EMPLOYEE'S STATEMEMR i.�
DET BEFORE CASHING .
; ,h l'' Y t�¢
EMROYEE NAME: ! '� i'q ,'��.'.'�j}•'.;.
PAY PERIOD IOIA EAR N I N G Sa 0 E DU CT I O NS
ENUwG HOURS !v`TE" - NET PAY-"
•t REGULAR\ OVERRME TOTAL SD1 F.I.CA F .M.Tea MEDICARE SL YAt Tea
DISFRBUTKM'
VTE ;,f. DESCMPT" AMOUNT ss DEDUGTONS AMONR
i ACOOUHT NQ AMOUNT
656 "2
W" ParmitND -
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PLE/SEDETACHSEFORE .1 A' /�/.����.�,p-�.'�:/1� .. -
.. DEPOSDWG CHECK _ - .. Otf 1leLJ't LLJ17L71 C1 1ION - THLS CHECK GTENDEFkD N FULL FAYKIET:
OF►VMES USTEO ABOVE
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