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<br /> MINED LAND RECLAMATION DIVISION N 0 1 CJ 0'L 6 <br /> 1313 Sherman, Rm. 215 <br /> GG,,11/ <br />Denver, Colorado 80203 DATE a _ ~/ t 9_~_ <br /> (~(\ I(303M) 866-356T <br />$~ <br />ED <br /> 1' \°[ I, l 1!`~.IMLA <br />FRDM <br /> <br /> DOLLARS <br /> <br /> ~ ~ ~~jj~~ // _ ~ /L ^ CASH <br />CK <br />7S <br />/~J " /` <br />' I <br />S <br /> f7 <br />0 <br />/9Y <br />FOR~YY Ot[ID tLQO <br />^ M O <br /> <br /> AMOUNT OF ACCOUNT.. ...... .$ '~t <br />QII IL ~~. <br /> AMOUNT PAID ... .......... ....$ <br /> BALANCE DUE .. ... ...... .....$ BY <br /> <br />