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iii iiiiiiiiiiiuiii <br /> <br /> MINED LAND RECLAMATION DIVISION N~ 16546 <br /> 1313 Sherman, Rm. 215 ~ ,p QQ // <br />Denver, Colorado 80203 DATE ~ /9 19~ <br /> ~/ ~Q/~,~~ (3C03)M8,66-35(67 <br />E /~ (~ / A $ <br />S <br />EO <br />F <br /> ~ <br />LRIC.~• ~ . 1~ ~L~.ECC~l1t5Y1 ~(11~C.~y N`zS.'1C. ~ <br />O <br />ROM <br /> . ~ <br /> ~ ~d~ DOLLARS <br /> <br /> (~ ((~~ ,//,, _ /J~ ('`~~ <br />~C HECK <br />! - ULl ~ ~~ <br />~ <br />H <br /> Y~JCIJ /i / <br />^ M.O <br />FDRCZ4S[.EV~ <br /> <br /> AMOUNT OF ACCDUM.......... $ <br />f_ <br />I <br />1 <br /> O <br />Q <br />AMOUNT PAID .. .. .. .. $ ~ <br /> BALANCE DUE ... ... ...........$ BY <br /> <br />