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W R HALL DETACH AND RETAIN THIS STATEMENT <br /> TT<C„E° CHECK 19 IN P4YMENT OF ITEMS p64Ca~EE° <br />CONSTRUCTION CO., INC. i c°.+aECT PLE.SE NoTiFV °s FaoMPrcY. No aE°EIPr d <br /> DELU%E -FORM WVC-3 V-2 <br />OAT[ <br />L DE6 CRIPTIDN AMOUNT <br />Acct 851 <br />1986 Annual Fees for Permit ~1-83-142 Hall Pit ~® <br />~~~~~~~ <br />FEQ 17197 <br />MiNtD LAND <br />~tCLAMATION DIVIS10~1 <br />,,.. <br /> <br /> MINED LAND RECLAMATION DIVISION ~J ~ 0 0 8 6 2 3 <br /> 1313 Sherman, Room 423 ,~,~"1 ' ~ <br />Denver, Colorado 80203 DATE yL rd! is <br /> ( <br />3013) 866-3567} I <br />(~ <br />t~ <br />/~ _ <br />~ <br /> _ 1 <br />I 1 <br />1 <br />/ <br />, <br />11ca V y (iSYt l1 /L AL /'~ i7yJ (~ <br />M W <br />~ ~ <br />• <br />RECEIVED FR <br />O <br /> (n <br />'- <br />J/ <br />{1, ~ <br />~ <br />J~~ <br />THE SUM OF /~/U.L~71 Ok-'1!'Q L.`I ~/G~OLLARS $ ~ ~O ~/CJ <br /> ^ cv9+ <br />FOR S-~_m~-~'~-~ m- 5a-lya y3S~ OMOCK <br /> <br /> AMOUNT OF ACCOUNT...... $ (1'I ~H~ ~o <br />l <br />n <br />` <br />I <br /> u <br />AMOUNT PAID ................ $ <br />/J <br />lT1J~ <br />Il~ I 1 / JT <br />BALANCE CUE ............... $ BY , 1 ' `~/C/rlil ~t,~ <br /> <br />$350.00 <br /> <br /> <br /> <br />