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~ 1111111111111111111 ~ <br /> <br /> MINED LAND RECLAMATION DIVISION N~ 17884 <br /> 1313 Sherman, Rm. 215 <br /> Denver, Colorado 30203 DATE ,' I ~ <br />C/ <br /> ~9 <br />(303) 866-3567 <br /> RECEIVED "'- $ <br />FROM ~) ~ I. ~ ~?G rL 1. ~ -3 C L(-~ <br /> 1 / :C <br /> .C: r o((C4' ~( ~ ~~ DOLLARS <br /> pj- <!' IS'll' ~' AI. ~i 1. 1,)(t~ ~ CCASH <br /> FOR - ~ IS~C. ~%`~ - ~~ ~. 6, 'g.GHECK <br />C M <br />D <br /> . <br />. <br />~J - 1. <br /> AMOUM OF ACCOUNT.. ... ..$ YIQ~~ ou! <br /> AMOUNT PAID . .. ... .. .. ... $ <br /> ~ <br />jjj'~~~///(((~ <br />~ / <br /> j <br />BALANCE DUE... ... .. .. ..$ BY <br /> <br />