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'.EASE DETACH BEFORE DEPOSITING CHECK -CX� <br /> INVOICE DESCRIPTION/INV,, -ENO. GROSS AMOUNT DEDUCTIONS NET AMOUNT <br /> GATE <br /> 1985 Fee - Permit No. 77-315 $350.00 <br /> If <br /> I <br /> MINED LAND RECLAMATION DIVISION N2 3465 <br /> 1313 Sherman Street Room 423 <br /> Denver, CO 80203 DATE B (P,S <br /> (303�) 866�-356^7 /7 <br /> RECEIVED FROM �Y� 6 ill ���JG�2Q ( 'Q <br /> y//. v <br /> THE SUM OF 'K�+ DOLLARS <br /> <br /> 'moo-IECK <br /> []MO. <br /> AMOUNT OF ACCOUNT......$ t^YllQll� �oul <br /> AMOUNT PAID................$ `l-/JIJ ,JU <br /> BALANCE DUE...............$ By- - <br />