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• <br />9 <br />LAKEWOOO BRICK & DETACH AND RETAIN THIS STATEMENT <br />TTr.CX[O CX[CK 1[ IN n M[NT 01 1 [M[ O[[Cnl[[O [[LOw <br />TILE COMPANY it .[ior coww[cT n-[.[[ NoTirv us nnoMnr~v. No w[c[I~ o[[in[o. <br />DELUXE -FORM TWC-3 V-3 <br />DATE INVOICE OEBCRI PTIDN AMOUNT O <br />NUMBER PARTICL <br />ANNUAL FEES FOR THE YEAR 1987 <br />9 <br />232 CLAY EXPENSE <br />(DOUGHTY'S PIT) ~~ <br />I--~- <br />MINED LAND RECLAMATION DIVISION N~ 0109E <br />1313 Sherman, Room 715 ~/ <br />Denver, Colorado 80703 DATE~~g_ <br />(303) 8664567 <br />~MEDO~a~~~~ n~~~ .. T o $~[ <br />I <br />AMOUNT OF ACCOUNT... ........$ <br />AMOUNT PAID ................... $ _ <br />BALANCE DUE ...................$ _ <br />D( <br />7 <br />} <br />7 <br />NET AMOUNT <br />UNT <br />50.00 <br /> <br />MINP^ LAND RECLAMATION DIVISION 1 I p <br />1313 Sherman, Room q73 I 0 0 6 7 1 4 <br />Denver, Colorado 80703 <br />(303) 66-3567 DATE z_ ~s~ <br />~{p / fh) 1 <br />RECEIVED FgpM _ Wl /A /tS A I ,. ~ `l- I ~ -~ / r <br />, vu ~- <br />THE SUM OF (~7(~ f `, <br />l/ DOLLARS $ yL~1/ ~~lJ <br />FOR / ~ ~ / S ` G~ G (+ ~.. Y ^ oy.-.+ECK <br />AMOUNT OF ACCOUNT...... $ J ~~^~o <br />AMOUNT PAID ................ $ V~~~Un~ <br />BALANCE DUE...... ~ R,, X. 1 i X ~ <br />MINED LAND RECLAMATION DIVISION N 0 Q Q 8 H 13 <br />1313 Sherman q <br />Denver, Colorado 80703 DATE / - a ~ _,g~Ef <br />(303) 866-3567 <br />RECEIVED ! r` <br />FROM ~C (1 ~ f I ~ . "irv..-l 1 n ! P j~(-~ CL / ! ~ ~' S(~ . Qv <br />~--f ~~ - _ ~~ _ <br />AMOUNT OF ACCGCINT........... $ <br />AMOUNT PAID ....... ...... ....$ <br />BALANCE DUE .............. ..$ <br />J 1 ~ (~ u 1.f1~H <br />/ 7 'n'~^/~!^ oMO~ <br />IlK ~Q ! <br />BY <br />~k~h~ ~~U <br />