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iii iiiiiiiii~iii iii <br />999 <br /> <br /> MINED LAND F AMATION DIVISION N~ 0 C <br />? 7 4 <br /> , <br />1313 Sherman, Room 473 <br />D <br />C <br />l <br />d <br />80703 <br />~ <br /> enver, <br />o <br />ora <br />o <br />DArE <br />~e <br /> ' <br />303) 866-3567 Q ~ <br />n <br />~ <br /> l <br />J ' <br />RECEIVED FROM <br />_ p-7'~1 ~~ \ ~ ~' r1 /' <br /> J~~~A's}}}.,,,. CO /~-~ <br />THE SUM OF~ i~O~ yC ~/IZf-DOLLARS $ ~ ~. ~ 1 (~ <br /> ECK <br />~H <br />~ I /1~ <br />/ <br />^ ~ - <br />' <br /> J <br />O <br />! <br />~/ <br />FOR 1 \'/'YY lRLA1 ~ <br /> AMOUNT OF ACCOUNT...... $ <br />lAou~ <br />~ ` <br />l <br />Q <br /> Y' <br />~ <br />1l <br />~/~ <br />AMOUNT PAID ................ $ ~ <br /> ' N ) ~ <br />BALANCE DUE ............... $ BY <br /> <br />