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999 <br />SUTHERLAND BROS., INC. <br />vATE ?N'JiJT.;-r iaC~ CDMi*','_i~JT <br />~:S/"; 9c+ !JEirtER #~ F~ERMIT FEES <br />n <br />c~~ <br />',~~ <br />7+hiDUNT <br />1, 875. 00 <br /> <br />NET AMDUNT <br />1, 875. l0 <br />05/7/38 DIVISION DF MINERALS R GEDLDG'v CHK TOTAL: 1, 875.01h <br />SUTHERLAND BROS., INC. s-es <br />P. O. BOX 889 <br />NUCLA, CO 81424 <br />(970) 884.7662 <br />NORWEST BANK GRAND JUNCTION, N.A. ~ " <br />GRAND JUNCTION, CO 81507 <br />82-9111021 <br />*DNE THDUSRND EIGHT HUNDRED SEVENTY FIVE DOLLARS AND ND CENTS <br />GATE AMOUNT B <br />Q'S~c:7~98 jFiFiFilif i, s75. QIIQiF <br />Rav SUTHERLAND BROS., INC. <br />TO THE DIIiISi DN DF MINERALS 8 GEOLOGY - <br />ORDER f~ `~ <br />oF: 1,1 SHERMRN ST. , RDDM 15 ~J .c FZ~kA l \ o t ~k <br />DENVEP. CD 90ck73 <br />__~ <br />~ /a K <br />AUTHORIZED SIGNATURE <br /> <br />