Laserfiche WebLink
MINED LAND RECLAMATION DIV, ~ N ~ 14 7 4 <br />1313 Sherman Street Room 4I3 <br />Denver, CO 80]03 DATE~I?~~-~9 `~__ <br />(303) 866-3567 <br /> `~ <br />( <br />1 <br />~ "`~ <br />~~' ~"'L `~ ~~~ `~'•'1 '~~ L~ <br />RECEIVED FRO <br />M <br /> \ <br />[ <br />~ <br />~ <br />/ <br />\ <br />THE SUM OF/-+C'~~ ~~-~' ~ ( DOLLARS $ I ~+i-'•~ - <br /> _ c 1 y I~~ VAC` ~^ycnsf+ <br />L~ FJ'~I ~{ ~(oK ,~.~S J_ 'P CHECK <br />QM.O <br />FOR C~`-~Ili~q( <br /> ~' <br /> AMOUNT OF ACCOUNT...... $ ~~^N'a n IOU! <br />11~/ `-l <br />A <br /> J <br />AMOUNT PAID .............. . $ U <br /> BALANCE DUE ............... $ SV L J <br /> <br />