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<br /> MINED L ) RECLAMATION DIVISION N C Q Q 7 7 ~ 9 <br /> 1377 Sherman, Room 423 <br />Denier, Colorado 80203 DATE ay ~s ~(s2 <br /> _ <br />303) 86/6~-3567 n <br />~ <br /> QS[n~~. A~V ~'~ n QL <br />RECEIVED FROM <br />THE SUM OF ~OOLLARS $ ~ a y. (1~ <br /> ` o~~. <br />OCK <br />S ISO O <br />~ ~ <br /> M <br />- <br />FOR <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />IQ~~ ~ n' oU I <br />l <br />~ ! <br />` <br /> ;J <br />` <br />Y <br />AMOUNT PAID ................ $ U <br /> BALANCE DUE ............... $ BY <br /> <br />