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'~e denver brick company <br />CASTLE ROCK COLORADO <br />INVOICE NO. DESCRIPTION GROSS AMOUNT DISCOUNT OR DEDUCTIONS NET AMOUNT <br />032288 Annual Fee <br />5010-00 $350.00 $350.00 <br />PLEASE DETACH BEFORE DEPOSITING <br /> <br /> MINED LAND RECLAMATION DIYISION N 0 ~ ~ 7 713 <br />1313 Sherman <br />Denver, Colorado 80103 DATE~~a~`- i9~_ <br />(303) 86Cr3567 <br />~-l/ CJ~~ <br />~ <br />C~1F- <br />t~1J~~x^-~ I~LC. <br />F <br />R <br />O <br />M <br /> J <br />~ <br />J <br />~ <br />~ <br />. <br />{ <br />I, <br />Q <br />/I ~ ~>~ ~ d <br />/ V 11 <br />/ <br />QJ <br />Cl <br />~--K.CL <br />~ <br />. <br />DO <br />LL <br />A <br />RS <br /> C <br />~ <br />L <br />/ Q p <br />///~,, <br />y <br />` <br />~ <br />~ <br />j <br />~ <br />~ <br />~,, <br />FOR wIVIV lY~J ~- / /-39a ~/gyp (~.(~ ^~'CFECK <br /> <br /> AMOUNT OF ACCOUNT......... .$ <br />u <br />Y IyIL OUI <br />AMOUNT PAID ..................5 `s3 p.p~ <br />/ <br />] <br /> / <br />/ <br />~ <br />/ <br />BALANCE DUE ............. ....5 BY ^""~M~^`~~' <br /> <br />J <br />