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~ iii iiiiiiiiniiiiii <br />r `~ -b'~ -~~ ~ <br /> <br /> MINED LAND RECLAMATION DIVISION N~ 18427 <br /> 1313 Shaman, Rm. ]IS <br /> Denver, Colorado 80203 DATE !~`- ~~ 19 ~'~ <br /> (303) 866-3567 $ <br />RECENED ~l ~^~ ~ .~ <br />~ <br />l <br />~ ~ <br />J <br /> ~ <br />' <br />` <br />~ <br />O. CYi <br />FROM 4' . i4','i'~ 6 ,, % ~ ,,,,,. <br /> ~~ ~ __.-- v~ ;. <br />~ <br />- <br />' / <br /> c~Y~~ <br />J `.,,.T /~'ri ~' <br />(~~ ~iU-;"~}i '~ <br />DOLLARS <br /> ^ C$SH <br />HECK <br /> FLR L'~vr.~7 L:J /~-11.-?-.~Cy ~2c•3 ~ic~ iii <br />~~~ <br />9.Y'-~c~i D~yf'S~;o M.o. <br /> , <br />~ <br /> AMOUNT OF ACCOUM...........$ (`~~°I,~ ~j~ 1I <br />~ <br />I <br /> OU <br />AMOUNT PAIL ................ ..$ /~T~y`/mar ll~~1~ <br />$ BY/ iC• / <br />C/i~J9°~i <br />.t <br />BALANCE LUE <br /> .. ................. <br />~ <br />~ <br /> <br /> <br />(~ ! / <br />v <br />J <br />a`a1 <br />~~ <br />~~ <br />