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<br /> DIVISION OF MINERALS AND GEOI;OGY N <br />~ <br />5670 <br />2 <br /> // <br />ll <br />,~..1 <br />DATE ~V ~ ~L/ 119 ~~ <br /> RECEIVED "r $ <br /> <br />FROM <br />L~~ <br /> <br /> ^ CASH <br />FOR I !~ d QO 1 ' (~ ~~d ~~~ ~n ~0. <br /> <br /> AMOUNT OF AC OUNT...........$ ~ <br />~ <br />~ <br /> Il <br />^~{JU <br />AMOUNT PAID ...................$ IA/l <br />/ <br />J` <br />/' <br />I <br /> 1 <br />/ <br />J/ <br />/~ <br />BAIANCE DUE .......... ... .... ..$ BV <br /> <br />