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MINED LAND RECLAA ON DIVISION ~ N O 0 0 5 a z 3 <br />1313 Sherman Street Room 4]3 ' <br />Denver, CO 8003 PATE ~ '9 iB~(.__ <br />(303) 866-3567{- <br />RECEIVEp FRpM v~ (\ 11Y~ ~,(~ ~ ~C~ G ~Mr <br />THE SUM OF - DOLLARS $~ <br />•/~/ ^M9 <br />AMOUNT pF ACCOUNT..... $ <br />~tiQh~Q ~OU~ <br />AMOUNT PAID ................ $ <br />BALANCE DUE ............... $ BY `~ <br />QVENDOR: MINED LAND RECLAlIATION <br />VENDOR NO: 59100 (~~J <br />DATE Sr15l86 CK,NO~ 4Y90 <br />INVOKE DESI;RIPTION ~ GROSS AMOUNT DISC i CREDIT NET AMOUNT <br />ANNUAL FEE 21 1030 50. DO 50.00 <br /> ppq~ ((~~ <br />"l..~11 ~,°a,. <br /> r~av i s ses <br /> <br /> COllo. l1ep~. Of r:^f:~ £t? Fifsd:,...~.. <br />FR~~tTIE TOTAL <br />R 50.00 50.00 <br /> ERIE,COLORAD080516 <br /> <br />