Laserfiche WebLink
ulriiil~riiiiiiiil <br /> <br /> Mlf~ LAND RECLAMATION DIVISION ~Jo 13736 <br /> 1313 Sherman, Rm. 215 _ <br /> QQ//,, <br />Denver, Colorado 80203 DATE ~ ~ ~(' t9~ <br /> (303) 866-3567 <br /> RECEIVED /~' $ <br />~ ~ JAL''. <br />(-_V <br />FRO <br />A. ~(O_.t 1 <br />~C <br />M <br /> 11 <br />((~~ <br />(~~ <br />I <br />/ <br />"~ II-/l (' Ci l~.un7sY~Gf'Y~ 5C.-t X77/ W ~~ as <br /> ^ CASH <br /> ~±(~ <br />FOR Q/~'L'GI C() ///- bd~-~ O ~1~3J ^M:(7. <br /> AMOUNT OF A OUNT..... ... .$ ~ ~ <br />t <br />~ <br />` <br />I <br /> ,/ <br />` <br />~./O~ <br />AMOUNT PAID ......... .........$ <br /> n <br />BALANCE DUE ........... ... ...$ BV 1 ~ <br /> <br />