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<br />P A V E E: DETACH T WS STATEMENT BEFORE DEPOSITING <br />HARD ROCK PAVING &REDI MIX, INC. <br />GATE ADLOUNr oa <br />MWILE ND I DESCRIPTION I AMOUNT nSCgx~i oa <br />EFOULTIDN NET AMOUNT <br /> PERMIT # M-77-195 <br /> f <br /> <br /> <br /> <br />EMPLOYEE'S <br />NP~"E HARD ROCK PAVING 8 REDI MIX, INC. <br />NpD <br />~ <br />~ HOURS RATE pq ~w ~ ~ ~ ~ ~ ~~'~_ ~ ~~~®1~1"~ a O ~ ~ EMNNGS <br />I <br />EH GS <br />E FI <br />LA FED WRH SiniE WIiH. Mp <br /> . TP% iP% <br /> REG T <br /> DT <br />vrH a EMPLOYEE THIS IS A STATEMENT OF yOUR EARNwGS ANO DEDUC-ONS FOR PERIOD INDICATED KEEP THIS FOR YOUR PERMANENT RECORD <br />MINED LAND RECLAMATION DIVIS,'" ' <br />1313 Sherman Sveet Room 423' <br />Denver, CO 80203 <br />(303) 866-3567 <br />RECEIVED FROM <br />THE 5UM OF <br />FOR t-[/K/k f...~L. ~~~ <br />AMOUNT OF ACCOUNT...... $ _ <br />AMOUNT PAID ................ $ _ <br />BALANCE DUE .... .. ... ......$_ <br />N° 35//36 <br />DATE C/19 <br />/~ DOLLARS $ <br />~ECK <br />^M.O. <br />~tiank ~oul <br />. BY~~/~~ <br />