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DIVISION OF MINERALS CZ GEOLOGY N2 / 26466 <br /> DATE 1 2 - to 19__� <br /> RECEIVED $ /Q <br /> FROM <br /> d- LARS <br /> I ' /1 ❑ CASH <br /> FORS L q3-1174 /IS 22 CK <br /> AMOUNT OF ACCOUNT..... .... $ <br /> Vt� U <br /> AMOUNT PAID. .................$ <br /> BALANCE DUE.... $ BY �` ' <br />