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<br /> <br /> DIVISION OF ` NERALS AND GEOLOGY N 0 , 'L 7 0 8q9~ <br />DATE ~ 19~+ <br /> RECEIVED /~ ~1 <br />FROM ~~"~~r~ C-~~`~(I~ds1I CCJ- .S-Q'~ <br /> <br /> ,~lGflT NIJNi~2~~ SCI/€•~T <br />r/d~ .~ <br />,1, °~ro -ool.wRs <br />s <br />~ <br />F. <br /> ~1 <br />, <br />e <br />p <br />, <br />FOR I~/~fl/7/T lf7 /' FEF '- / ~ ~JS~O~(~ ^ M.O. K <br /> <br /> AMOUNT OF ACCDUNi...........$ ~`-'p~f^ /~/,,^~f^ 11 <br />~ <br />o <br />I <br /> IIYG <br />AMOUNT PAID. $ VII <br />u <br /> BALANCE DUE ........ ..........$ <br /> <br /> <br />