Laserfiche WebLink
<br /> MINED IAND RECLAMATION DIVISION NO 2368 <br />1313 Sherman, Rm. 215 <br /> 3' /~ ~3 <br />Denver, Colorado 80203 _ ""3 <br /> DATE 19 <br />(303) 866-3567 • •r <br />RECEIVED $ <br /> FROM /. <br /> ~ L ~ `~' DOLLARS <br /> ' / /fJ ~7 ~ { ^ CASH <br />~~9^-CMLiOECK <br />FOR Ct/F'V7~ V ~ D /' / ~ / O ~ ~ / a~' <br /> ' <br /> AMOUNT OF A OUNT..... ... .$ ^ ~ O'I! <br />AMOUNT PAID .......... ... ....$ !A lA <br /> BALANCE DUE ..... .......... ..$ BY <br /> <br />