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<br />DIVISION OF MINERALS AND GEOLOGY <br />RECEIVED <br />FROM_ <br /> <br />DATES 1~9 <br />$Il~i! ~ ~-c/J <br />AMOUNT OF ACCOUNT.. .......$ ~ '^~ /~.( <br />AMOUNT PAID .. ......... ......$ Yl ~`~JJ <br />BAlA/JCE DUE ........ ..........$ BV <br />~' <br />