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INVOICE NUMBER <br />X163140479 <br />DATE <br />07/12/4 <br />O ROSS <br />Hertzog Annual Report Fee 1983 To 1984 <br />DISCOUNT <br />NET <br />RECEIVED <br />JUL 1 C 19~a <br />$350.00 MINED LAND RECLAMATIGN DIVISION <br />Colo. Dept. of Natural Resources <br />~~ REMITTANCE , <br />TOTALS gggggq $350:00 <br />MOBILE PREMIX COMPANY R.o.eoxea~ <br />5 2 5 8 RIFLE, COLORADO 81850 <br />•$TATEMENT-NON.NEGOTIABLE• <br />