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I <br /> MINED LAND RECLAMATION DIVISION N2 3455 <br /> 1313 Sherman Street Room 423 <br /> Denver, CO 80203 DATE r!(4gQ==c '9 <br /> (303) SP6,3+5/6�7n <br /> RECEIVED FROM�.,,,�y/�,✓���y,/ `y// `y/.-�,/n�r�t�'J'G/�-o. <br /> THE SUM PF� ���ri'iuJQKN Y /W 7�cv'�r�-L S <br /> El <br /> FOR <br /> AMOUNT OF ACCOUNT......$ ghahk C�Oul <br /> AMOUNT PAID................$ <br /> BALANCE DUE...............$ BY I <br /> • <br />