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<br /> <br /> DIVISION OF MINERAL ND GEOLOGY J 0 <br /> DATE /~L/~L_ 19 <br /> RECENEO // $ <br /> C <br />FROM <br /> <br /> 1 <br />/ YL ~ D p q, <br /> <br /> /~1 [/ ` ^ CASH <br />- % ~ ~~ / ^ CHECK <br />FOR D1J <br />^ M.O. <br /> ~ ~ <br /> AMOUNT OF ACCOUNT... .......$ / J <br />Q /c ~QU I <br /> AMOUNT PAID . .................$ <br /> BALANCE DUE ................ ..$ <br /> <br />