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PAYEE DETACH TNIS STATEMENT BEFORE f+~PO5ITING Elk Creek Gold Mines Co. <br />DATE ACCOUNT OR DESCRIPTION AMOUNT DISCOUNT OR NET AMOUNT <br />INVOICE NO DEDUCTION <br />,_- ~ -1 .f~ ~lZ <br />EMPLOYEES <br />NAME Elk Creek Gold Mines Co. <br /> <br />PAV PERIOD <br /> <br />ENDING <br /> <br />HOURS <br /> <br />RATE <br />GRO55 <br /> <br />EARNINGS -~---T-- NET <br />-{II-- <br />------ I -~- EARNINGS <br />Fev wrt~ 5*Are w I <br /> <br />_ v A pglD <br />T• } ~ - <br />` <br /> REG T <br /> OT <br /> . <br />- <br />~ <br />~ <br /> _- <br />-- <br />_- -- <br />- _ <br />EMPLOYEE. THIS IS A STAT EMENT OF V OUR EARNINGS ANO DEDUC TIONS FOR PERIOD INDICATED. KEEP THIS FOR YOUR PERMANENT RECORD <br />MINED LA RECLAA?Al'ION DIVISION <br />1313 Sherman Street Room 4Z3 <br />N_ 0 0 5 8 0 5 <br />Denver, CO 80203 ~! <br /> <br />(303) 866-3567 ~ ~ ~~_ <br />DA <br />TE <br />~ ~~ <br />RECEIVED FROM __S.~d!_~ ~ \J`Q ~ a ' <br />a <br />~j~,~~} ~y~~~ ~~ , <br />~ <br />I r- <br />/ <br />/ <br />THE SUM OF ~ ~l" ,/~ ~/' <br />`pOLLARS $ ) C' L~-~ <br />((~~~~ __ C <br />FOR-~~ 1-rX~ ~. Oy~O ~ ~^ cAEiN <br />j3 ~~ rxlocK <br />AMOUNT OF ACCOUNT... , . , $ <br />AMOUNT PAID ................ $ <br />~ou~ <br />l <br />BALANCE ^UE ........ ...... $ <br />