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<br /> <br /> DIVISION OF MINERALS A ~ GEOrGY rJ o 2 5 5 2C~1 9~ <br />DATE ~ _ ~ ~ 19 /~ <br /> (~ <br />RRC <br />EIVED ~ _ _ \ \ ~ $ .-,~ ail-, <br /> O <br />~A l~'C~19/Y\CY \vJ.J+ ~D/0.~LLA~RS' <br /> <br /> FORNn V !' ~-~3"~ M-7s-ly3 C38/O~ ~0 K <br /> <br /> AMOUNT OF ACCOUNT... ........$ ^,A~ O~! <br />AMOUNT PAID ....... ..... ......$ IAII <br /> BALANCE DUE ...... ............$ BY <br /> <br />