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i <br /> DIVISION OF MINERALS AND GEOLOGY N2 264 6 <br /> DATE �� C�3 19�� <br /> RECENE $ <br /> FRDM <br /> DOLLA <br /> p n c ❑ CASH <br /> FORQJUI� !3"13 C: -/S o7'.S�j �c�G �,.p HO K <br /> AMOUNT OF ACCOUNT...........$ <br /> OU <br /> AMOUNT Pao .. ...... ........s— <br /> �IQYl�2 <br /> BALANCE DUE...................$ BY <br />