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<br />_~ <br />~II ~II~I~~I~~~~~ ~II <br /> <br /> <br />MINED LAND RECLAMATION DIVISION N0 <br />006683 . <br />1313 Shaman, Room 473 . <br /> <br />- Denver, Colorado 80703 ~7 p <br />AT <br />~° <br />' o <br />) 866-3567 <br />03 <br />('3~ <br />j D <br />E <br />IB <br />~ <br />1 <br />^ <br />~~ <br />RECEIVED FROM `~'JI> ~ /Y/_I <br />n L~ <br />J <br />` <br />~ C. <br />~~l,T/~ <br />~ <br />THE SUM OF 0 ~"~ L LLARS $ !~ l0 <br /> ^ <br />. <br />ai <br />G <br />FoR Alnnl'~PO-3 78-11/78-12 /T7-9/7fG-l .- <br />~~ <br />~e <br />~/9~/•74/71-:ii ~/2!/9PL7.nn~ <br />~~"8 3SI•sn 3m~ ssDrtJ s+W.p7 <br /> <br />AMOUNT !7F ACCOUNT...... $ ^ <br />I1Q~ <br />OUI <br />AMOUNT PAID ................ $ V <br />~JJ <br /> t ~ <br />BALANCE DUE ............... $ BY <br /> <br />.~ <br />.~ <br />ROBINSON C ~ # ,-1 2 ~D I 0 <br />BRICI{ ~ 1845 W. DARTMOUTH AVENUE <br />COMPANY (• P.O. BOX 5243 <br />~~~ DENVER, COLORAD080217 <br />~ ~ 13031 7899002 <br />INVOICE DATE REFERENCE GROSS AMOUNT DISCOUNT NET AMOUNT <br />08/20/87 Anni[al Permit Fees 1,500.00 - 1,500.00 <br /> ~~ P~`m ~ ~ <br /> A G 2 7 1987 <br /> r~ y~r,'.,ANO ,... ..1 <br />RB 1002 (R~r. 1 <br />