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PLEASE DETACH THIS REMITTANCE BEFORE DEPOSITING CHECK <br /> Mon <br /> CHECK PAYMENTNUMBER DATEY Y 0 U Y Y 0Z09B8annual reports 6 fees - nS st. orrow <br /> ACCOUNT— DISTRIBUTION AMOUNT <br /> INVOICE DR(BLANK) GENERAL DISTHIBUI LQN CODE <br /> NUMBER CR I.) LEDGER .IOBRUMBER COSTITEM GROSS <br /> NUMBER EQUIPMENT AMOUNT RE TAINAGE ISCOUNI <br /> NUMBER MNNI CORE <br /> 59001 9113 1 101170 35000 <br /> �qQQIL 1 63,4712 6JS b <br /> =1 REQUESTED BY:� pg11yr PAYMENT TO THE ACCOUNT OF <br /> $I <br /> FLATIRON PAVING COMPANY OF BOULDER <br /> DATE PREPARED: 02 09 1 88 PO.BOX 229 BOULDER,CCLORADO 80306 <br /> EAU DAY YR <br /> MINED LAND RECLAMATION DIVISION N 0 007636 <br /> 1313 Sherman <br /> Denver, Colorado 80103 y <br /> (303) 8663 DATE 567 9& <br /> RECEIVED $ <br /> FROM n NnYI 1 QJ.�l M P �QQ. <br /> DOLLARS <br /> FOR /n � �(. l49�7y 7 y nI HECK <br /> cAs <br /> AMOUNT OF ACCO<MT...........$ <br /> AMOUNT PAID ..................$ O <br /> BALANCE DUE...................$ BY <br />