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JEFFERSON COUNTY COLOR~O <br />CLAIM VOUCHER <br />Date January 27, 1994 <br />~~r~irlVEn <br />JAf~I 31 1954 <br />Claimant Division of Minerals and Geoloov <br />Address 1313 Sherman Street. Roan 215 EIN or SS#~' :,_C:cc,cn~r <br />Denver, Co 80203 <br /> <br />5 Permits for following Quairies: <br /> Nr80-113 Molly Quarry $550.00 <br /> M-80-084 Goltra Q„a*w 550.00 <br /> M-77-246 Green Valley Quarry 550.00 <br /> M-77-245 Pine Junction Quarry 550.00 <br /> M-77-244 Dog Pound Mine 559.00 <br /> <br />$2,750.00 <br />CERTIFICATIONOFCLAIMANT County of • State of ~'o/tm2dn <br />I, , certify that to <br />belief, tithi account is true and correct, <br />°~ o/m~a~o <br />Claimant ~riuaiilx~ /'(if~iY~QSO..~oQ ~(o~ D <br />BEFORE PAYMENT CAN BE MADE THIS VOUCHEVR/ MUST BE <br />the best of my knowledge and <br />and is now due and unpaid. <br />to TClQS~ <br />SIGNED AND RETURNED T0: <br />JEFFERSON COUNTY ACCOUNTING DEPARTMENT <br />100 JEFFERSON COUNTY PARKWAY GOLDEN CO 80419-9560 <br />