Laserfiche WebLink
<br /> DIVISI~ OF MINERALS AND GEOLOGY i//~~~~ x~//2~,,5883 <br />DATE~19 ~~ <br />FROM ED ~ .l,l~(' O/I $ ~ i <br /> <br /> DD <br />L <br />L <br />ARS <br /> /` (~ ~ <br />C <br />H <br />E <br />FOR ~ti1"VY7~ PO ~ ~ 7 3 ~ ~-C~,~ ~c, if ^ prpCK <br /> AMOUNT OF ACCOUNT.......... $ 1lQYl NG u' <br />AMOUNT PAID .......... .........$ Yl <br />BALANCE DUE .... ... ...... ...$ BY <br /> <br />