Laserfiche WebLink
<br /> DIVISI^V OF MINERALS AND GEOLOGY ' <br />~~ 605 <br /> DATE ~ 19 <br />--_~ <br /> FFlOM ED G(/J vi / $L~_J <br /> <br /> Y L'b DOLLARS <br /> <br /> <br />^ CHECK <br />~~1 <br />f-0R_~f~~ /// ~ ~~ ~/ ^ CASH <br />^ M.O. <br /> // __ <br /> AMDUNT OF ACCDUNT...........$ <br />avid oul <br /> AMDUNT PAID ..... .............$ <br />, <br /> BALANCE DUE ..... ..... ......$ <br /> <br />