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Chaffee Title-Abstract Company <br />• SOS "G" STREET •- SALIDA, COLORADO 81201 <br />Phone 539-2215 <br />FROM: Jim Treat DATE: <br />MEMO <br />To: Mined Land Reclamation Div~iefr-- RE; M-80-041 <br />Enclosed please find my annual fee and report. <br /> <br />Tha You <br />I <br />MINED LAND RECLAMATION DIV.-.JN <br />1313 Sherman, Room 413 <br />Denver, Colorado 80103, ~ <br />RECEIVED FROM <br /> <br />THE SUM OF <br />FOR IN~v~I ~ Y ~ <br />AMOUNT OF ACCOUNT.... .. $ <br />AMOUNT PAID ............. ... $ <br />BALANCE DUE ............ ... $ <br /> <br />N°_ X08917 <br />DATE ~ n 1C 19 _L- <br />~.r~ ~o <br />7 ^ - ~ /4 tti <br />COLLARS $ ~~--/~~L ~. <br />a. <br />r <br />