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MINEL ,ND RECLAMATION DIVISION <br />1313 Sherman, Rm. 215 <br />Denver, Colorado 80]03 <br />p (303) 866-3567 <br />RECEIVED I \ ~ /~ /~ <br />FnfIM 1 \ ` l D/\ OdnYLL ~!' . ~ <br />- -- - ' --13829---~ <br />DnrE ~ - ~ i s~ ; <br />^ CASH <br />`B.CHECK <br />^ NT0 <br />AMOUNT OF ACCOUNT..... .. .$ <br />AMOUNT PAID ........ ..........$ <br />BALANCE DUE ......... ... $ <br />~ ~ hI2 OU~ <br />BY - ____ ___ - _ ii <br />