Laserfiche WebLink
ME ATTACHED CHECK I$IN PAYMENT OF THE FOLLOW NG- ACCOUNTS TO BE CHARGED EMP.NO. <br /> -le SMIKE LOCATg MAIOx <br /> 0 rcm r . Is �muxr PROJECT NO. AMOUNT <br /> PER STATEMENT ATTACHED I tI u � Is b l I <br /> SEMI-MONTHLY EXPENSE REPORT " s <br /> FRT.BILLS PER ATTACHED <br /> TEMPORARY ADVANCE <br /> INVOICE NO. <br /> j x OTHER, Deramo A TnLL�I fPA nrA <br /> Permit #77-288 � ' T <br /> N9 53812 -- ----=- ----- <br /> MINED LAND RECLAMATION DIVR N2 3927 <br /> 1313 Sherman Street Room 423 �/��/���� �� <br /> Denver, CO 80203 DATEa9_TsE�__ <br /> (p3�03) 866-3567 61 ^(u <br /> RECEIVED FROM L�.)9Sa10-In / /�F4�lQ�`ys7t, C s r� q� <br /> .,THE SUM OP i9O a S $ (97 E W <br /> FOR �►--.—T.�Ps>_- rn `— ! 7 - aq I?) �MyOECK <br /> AMOUNT OF ACCOUNT......$ <br /> Hanle oul <br /> AMOUNT PAID................$ <br /> BALANCE DUE...............$ BY <br />