Laserfiche WebLink
<br /> <br /> MINED LAND RECLAMATION DIVISION N~ 20233 <br /> 1313 Sherman, Rm. 215 <br /> Denver, Colorado 80203 DATE ~ - ~ ~ 19~ <br /> (303) 866-3567 <br /> $ <br />RECEIVED <br />FROM ~ ~ S. <br /> h <br />~ <br /> ~~ ~" <br />--DOLLARS <br /> ^ CASH <br /> /y l ~B'EHECK <br />FOR L1//7n'1 p Q /'~ ' / ~ ~ 3 i ~ I~~~ ^ M.O. <br /> <br /> AMDUN~GCOUNT... ...... $ I <br />Q <br />O <br /> AMDUfYr PAID ...... ...... .....$ <br />v <br /> BALANCE DUE ..... ...... ......$ BY ' <br /> <br />