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<br />DIVISION OF MINERALS AND GEOLOGY <br />Department of Natural Resources <br />13 t 3 Sherman St., Room ? I S <br />Denver, CO 80203 <br />Phone: (3031866-3567 <br />FAX: (3031 632-8105 <br />October 30, 1992 <br />Lazy A Corporation <br />182G tJinfield Dr <br />Lakewood, CO 80215 <br />r~ <br />L <br />STATE OF COLOIZt'~DO <br />al ~?143 <br />110(2) ANNURL FEE INVOICE and REPORT REQUEST <br />PLE.45E READ CAREFULLY <br />or cow <br />t° ~~ <br />M lp <br />.~,~~• <br />~ ~8'!6j' <br />Rav Romer <br />Governor <br />Michael B. Long <br />Dreision Drrecror <br />Your annual fee is NOT a renewal fee (it is for LAST year), and is due and payable <br />6N OR BEFORE your anniversary date. If you are ?!OT RELEASED of all reclamation <br />requirements by your anniversary •7ate you MUSt PaY the annual fee. <br />PLEASE NGTE: IF '(OUR ANrIUAL FEE, ANflUAL RE?OR', aND ~aAP ARE PIOT 4EJEiVED ,N '~P. <br />• BEFORE YCUR aNNiVERSARY DAiE, A F~;RhrAL rJOTICE OF ~/iGLarION. arJD ? DOaaD JRGER i^ <br />Par Cit1IL ~Er1AL-IES IN THE atAGUPIT Er,UAL -iJ ±GUR a'JrlLAL SEE GF ii%5. 7', r'iIL'_ o_ <br />AUTi,hIArICALLY" ASSESSED. NO PERh'I'S 'i:R 4E:1 'dI`!I`!G ^PFPA%IGrJS 5;~.=~__ ?c u<,.=`I'E~ -: <br />aNY ;,PE~iA')R ;MHO iS C:.RREVTL'r FCI,~aC -~ .,_ :'1 ';:_ ;i_~'`J .r1 ~~.5 S'-.. <br />Division records indicate you owe 3175.00. <br />o2r'ni t NC. M-7%-dG% <br />Gperscicn >lame: Czdar- C~z?!c <br />anniversary Date: J1i5G/93 <br />'nnLai Fens for the '!ear(s): 1995 <br />total: 51%~.JO <br />Pr t. <br /> <br />.F yCL'r `e LJrdi ind; sate dlf'?red` =~_Crc -1i^ -.I .:? ~_--:~ a~r~la ;'~;..~ -_. a. <br />7d`~af3 ~aiappCne. d: Lne ~1 Vi ;iCn ~'-: r'. 3S ..7~ -_ ;C:3~C E. <br />?~~q_~ r''7rn the enC'CS2d 3nnedl r2rrrr =~~s1 a `.~dp, „^C ~._?E~.r ~ '•1G''Er ,~R~_; -:-- <br />Ca'laC J? .v `.he Division pT M1^?rd': dad r'J1 ~.•rr '~13 ~f`?rCla^ _`T"?? ..;Ci-1 _ 7. <br />Cep/er, =~:Crado 80203. --- <br />• rhark vcu. <br />Eneloseres <br />