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W fl NALL DETACH AND RETAI ENTH~IS STATEMEN eeo e <br />CONSTflUCT10N CO., INC. 'b ooAAEO. P~E~sE ~o:iF'v°~s PaoMPr~Y.~' Noo a'eoceirr or"°o <br />DELUXE -FORM WVC-3 V-2 <br />C, 1TL DEBCYIPTION I AMOUNT <br />852 <br />RECEIVED <br />1984 Hall Gravel Pit Permit#83-142 Annual Fee <br />CEC 9619®4 <br />MINED UND NEP~TIQN DIWf10M <br />Cdo. pept. d N~ cK <br />,,.. <br />MINED LAND RECLAMATION DIVISION <br />1313 Sherman Street Room 423 <br />Denver, CO 80203 <br />(303) 866-3567 <br />RECEIVED FROM <br />THE SUM ~ u <br />FORb~i~ Y V _~/~ <br />AMOUNT OF ACC/OUNT...... $ <br />AMOUNT PAID ................ $ <br />BALANCE OUE ............... $ <br />N°_ 2863 <br />DATE) 19 <br />~~~ <br />^ cnsi-~ <br />'~ , ~ ~ ~O-BECK <br />~ MO. <br />aannle ~l,~oul <br />I <br />$350.00 <br /> <br />• <br /> <br />