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<br /> MINED LAND RECLAMATION DIVISION N~ 2251 <br /> 1313 Sherman Street Room 423 <br /> Denver, CO 80203 DATE Irk "`. is 2`~ <br />(303) 866-3567 <br /> RECEIVED FROM ~~'~~ r' - "I ~ ~' ~~~ ~~t <br /> THE SUM OF I' r.y ~'~"~" , ,i' ~"Y~ "DOLLARS $ I _ 'Q <br /> ^ cns+ <br /> ~ - _ / 6iECK <br />FOR ~~ d~ 1~ ~, Y 'I / /. ~ { <br />M.O. <br /> <br /> AMOUNT OF ACCOUNT...... $ ~~~~~ n IO~~ <br />~• <br />' <br />A <br /> AMOUNT PAID ................ $ <br />V <br />f <br /> BALANCE DUE ............... $ BY ' i .. a-: <br /> <br />