Laserfiche WebLink
<br /> <br />j MINty LAND RECLAMATI6N DIVISION (V ~ 0110 6 4 <br />1313 Sherman, Room 215 <br />Denver, Colorado 80203 DarE 1 D ~ y ~ g_~~ <br />'~ l~(303) 866-3567l~ (~ $ <br />FRR~OM ED 1 1 (n-l.~ n n ~ l ~ SLR[' \2 <br />II > ~, , <br />t ) <br />t FORLPiYI/Vl ~.-~ll ~ ~ SS 7 <br />a <br />~ AMOUNT OF ACCOUNT. ... .... ...$ <br />AMOUNT PAID ............. ......$ <br />BALANCE DUE ....... ...........$ <br />_ DOLLARS <br />^ CASH <br />~CK <br />QOM. <br />BY ~ <br />