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• <br />~l~ ~. <br />(~ ~~ / r- ~ <br />.~~ n ~_ <br />MINED LAND ,._.:LAMATION DIVISiOf N 0 Q (J b ~] 6 3 <br />1313 Sherman, Room 423 <br />Denver, Colorado 80203 G <br />(303) 866-3567 DATE Cl Tg ~~ <br />RECEIVED FgOM ~ )+ ] ( Cl,Yy-)~'1 <br />THE SUM OF Q / DOLLARS $ ~ %. ~(~ <br />,,/ ~ CAEt+ <br />FORr Y-eG' ~J~ ~ S ~ ~-~~_'~_ M E K <br />AMOUNT OF ACCOUNT..... , $ <br />~~an~ ~aU~ <br />AMOUNT PAID ............... . $ <br />BALANCE DUE ............... $ BY <br />L J <br />CHECK NO si[ - - <br />VENDOR Mined i -d Reclamatin D'vision <br />INVOICE INVOICE -COUNT RETENTIONS NET AMOUNT <br />NUMBER DATE INVOICE DEb~: RIPTION GPOSY AMOUNT ~ pA yM ENTS TO DATE THIS CHECK ._J <br />Annual Fee ' <br />Permit No. M-85-001 ~ <br />I <br />J & J Pit <br />Anniversary Date 6-27-87 <br />Account 7130 <br />Reference J~ <br />50.00 <br />BURNETT CONSTRUCTION COMPANY GRO55 AMOUNT <br />TOTALS -~ SO.OO <br />50.00 <br />NET AMOUNT <br />50.00 <br />