Laserfiche WebLink
<br /> MINED U, RECLAMATION DIVISION N ~ 0 0 5 414 <br /> 1313 Sherman Street Room 413 ~/_ I 1~ ~~)) <br />Denver, CO 80103 DarE ~is~ <br /> _ <br />(30 <br />8663567 <br />3 <br />) <br /> n <br />1I --tµ, <br />.. <br />y <br />P <br />i~1 <br />f7~ Q LL/ <br />Ll0 1~1 <br /> . <br />. <br />RECEIVED FRO <br />M <br /> vI <br />\ <br />'7 ;7 <br />I <br />THE SUM OF 1wt)ILUiY4~~ ~ ~f~JJT-rrt'1LLAR5 $ LD~'y~ <br /> (~ j CASs <br />FOR Y ~YJ ~ ~ - DC ~CG~ECK <br />^MO <br /> AMOUNT OF A OUNT...... $ ~ <br />~ n fOU~ <br />t <br />~ <br />~ <br />Q <br /> ,/ <br />` <br />II <br />1l <br />I~ <br />AMOUNT PAID ................ $ U <br />A <br /> ~ <br />n n ' <br />~ <br />l <br />~ <br />t <br />BALANCE DUE ............... $ BY / 1 ' ~/`+~ <br /> <br />.,i . ~ <br /> <br /> MINED LAND RECLAMATION DIVISION ~J 0 0 0 5 415 <br /> 1313 Sherman Street Room 413 <br /> Denver, CO 80103 ~~~ <br />~ 1fi <br /> 's J~ <br />(303) 566356 <br />7 <br />DATE <br /> , <br />~/ <br />RECEIVED FR <br />O <br />M <br />~~ ~ "r ~~~ud?~ <br /> ~ <br />// <br />J~ /~ <br />~ <br />0~ //t <br />~C~ <br />I <br />` <br />~ <br /> L La ~ <br />/ (/ • <br />DOLLARS $ <br />THE SUM OF / • Jrt <br />rT <br /> M v /'fq ^cAS-~ <br />/ ~oCK <br />7 <br />d <br />FOR ~,U/~ /'~ ~ O~ ~Q ~ ~` <br /> ^^ <br />/ <br />~ I <br />AMDUN7 OF AC OUNT...... $ YIQ <br />~ ! I oul <br /> II <br />AMOUNT PAID ................ $ n ~/~ <br />//~ <br /> BALANCE DUE ......... ..... $ 8Y <br /> <br /> <br />