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<br /> DIVISION OF MINERALS AND GEOLOGY N ~ y 2 6 5 7q 3(~/ <br />DATE ~//~ '19~ <br /> / <br />RECEIVED ~/' "~/' y ,`, ~,,,, ~`~ /J $ /,~ <br />~ <br />~ <br /> JCY/ C:CC1U i <br />FROMC7 ////~~~ l/I <br />/Y) ~, . w~. <br /> <br /> O <br /> ^',,, / /~~, / ~,~1.L /~ ~J ^ CASH <br />FOR /lY/Y L ""77'I~f J . <br />/JF~/~ i4 ! ~ (J L/ ~~ ^ MOCK <br />~ <br />AMOUM OF ACCOUNT...........$ I^ <br />~ <br />I <br />Q <br />YL ~~ <br />AMOUNT PAIO .. ........... ....$ <br />BALMICE DUE ........ ..........$ B <br /> <br />