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i <br /> i <br /> i <br /> i <br /> 183660_ <br /> MINED LAND RECLAMATION DIVISION N <br /> 1313 Sherman, Rm. 215 2_ a(o s <br /> Denver, Colorado 80203 DATE <br /> (303) SC3567 <br /> AECENEOFROM <br /> ro.tlt Y QneTLt/i�'O �l <br /> 14Q DOLLARS <br /> ° <br /> ,v43- Ia3�9, Io9,-�D <br /> �dECK <br /> w f 4i �4' +"/1 N3�1v C4a CfrJ•IZ 72P2ta <br /> AMOUNT OF ACCOUNT. ....... .$ oul <br /> AMOUNT PAID.... ... .. ....$ <br /> BALANCE DUE....... .... . <br /> $ BY <br /> THE BA FIRST IONAL NATNK 007702 <br /> BASIN RESOURCES, INC. TRINIDAD <br /> <br /> <br /> <br /> OUNT <br /> *THIRTY NINE THOUSAND NINE HUNDRED DOLLARS AND NO CENTS <br /> PAY <br /> TO THE Department of Minerals BASW REsouRCE9,INC. <br /> p 2 SIGNATURES REOUI OVER$25,000.00 <br /> ORDER and Geology <br /> OF 1313 Sherman Street, Room #215 <br /> Denver CO 80203 <br /> DEP MIN <br /> DESIGNATED REPRESEiRTATIVES <br /> 11600 7 70 2u' 1: LO 2 100 i 381: 04 688 4s' <br /> 060 R3--1.2-019, 67+ 7L) = C-S1-13 <br /> 93.3Yi'it. 13"q.Sci v3 = 041- 1 <br />