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INVOICE NUMBER <br />.iAN04R8 <br />MINED uND RECLAMATION DIVISION N~ U07550 <br />1313 Sherman, Room 473 <br />Denver, Colorado 80703 DATE [~ - `~_ ~s <br />1(303) 866-3567 (~r~ ~ ~ <br />RECEIVED Fg`p~LM `),>P~~nlr'!1 \ l `U {,~ \ 1 ~ <br />THE SUM pF 'nom-°s ~~^~~a~! U~~`~'~Q~ DOLLARS$5~~~~~~~- <br />O <br />FOR ~~ n n Fee m - g(Z~~o l ~ ~ Sa ~ M.p. " <br />AMOUNT OF ACCOUNT......$ <br />Hanle oul <br />AMOUNT PAID ................ $ <br />BALANCE pUE ............... $ BY ~IAYQ ail \~ ~ 1~ <br /> DATE DESC GROSS DISCOUNT <br />4 Jan 0>3 601` E 350.00 <br />F«~ ~D..~ <br />REMITTANCE ' <br />TOTALS 350.00 <br />00 <br />P.o. sox s\ea r.n. <br />O1 DENVER,COLOflAD080Y17 11252 <br />(STATEMENT-NON-NEGOTIABLE• <br />NET f <br />350.00 <br />11252 <br />~' <br /> <br />