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<br /> <br /> MINED LAND RECLAMATION DIVISION 0 <br />1313 Sherman N_ 0 0 7 c3 6 <br />Denver, Colorado 8003 DATE 5 " 'S ~s' S <br />(303) 866.3567 $ <br />~NED <br />R~E <br />OCE <br />, <br />C~ <br />/` <br />/ o~ s .UL <br /> ^ <br /> qc <br />nn <br />''~~ <br />~ / <br />`~ <br />~~ ( <br />, <br />BBL-Li~AS <br />(/~>Lk /ll_e~) cd/ IA-L)Q~GL~/ [7 <br />~!h'-1~-- <br /> r <br />~ <br />FDR~f-' oy 1~/ - 6a ~ ~.5 Z l/IL~.,J&/p BECK <br /> 4 <br /> AMOUNT OF ACCOUNT ....... ..$ <br />aK~ ~ou! <br /> / <br />AMOUNT Pao ..................$ / '~ <br />BALANCE DUE.. ....$ BY ' <br />