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.10 <br /> FLOC' 9151-' <br /> VO3 Nos <br /> to M <br /> THE REVERSE SIDE OF THIS DOCUMENT INCLUDES MICROPRINTED ENDORSEMENT LINES AND ARTIFICIAL WATERMARK-HOLD AT AN ANGLE TO VIEW 8 <br /> INDEPENDENT FINANCIAL 6978 <br /> 401 MAIN STREET <br /> LONGMONT,CO 80501 <br /> ZAK DIRT, INC. I 88-1632/1119 <br /> AM\O\ 14290 HILLTOP ROAD CHECK NO. <br /> "1111V ZAK LONGMONT,CO 80504 <br /> d I 970-535-4657 <br /> 6978 <br /> DATE AMOUNT <br /> *********FIVE HUNDRED FOUR DOLLARS AND 00 CENTS********* <br /> 02/06/2024 **********504.00 <br /> PAY COLO. DIVISION OF RECLAMATION, <br /> TO THE 1313 SHERMAN STREET <br /> ORDER ROOM 215 r pt SENg/ <br /> OF DENVER CO 80203 <br /> 2-0 Z I D1 e, AUTHORIZE' IGNATURE �9 s <br /> l.-/ <br /> Por 1V - 2.C>L -0c_ L� <br /> P_L,* L4)0-1Z_ <br />