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MINED LAND RECLAMATION DIVISION Np 1676 <br />1313 Sherman Street Room 423 <br />Denver, CO 80203 OArE I / ! t~ ~s 5 <br />(303) 866-3567 <br />RECEIVED FROM -~>-'~~~r. o. i. s_~C u_,C~ ~~i> ~R~a Sri. .t <br /> <br />THE SUM OF ~ Y ~ ~ <br />Y. -- l <br />~ <br />DOLLARS $ ~ ~'_ ~ , ~ C <br />- ,. ., _~_, .,v ~cn~ - C <br />r,.~R -SIN-' ~ ~a~ r~~' ~~f - I r I ~ ~ <. ~ <br />AMOUNT OF ACCOUNT.. .... $ -'Y~-< <~ I ~ ~" ~'• ~ "~~~N~ <br />/ n I <br />l <br />A <br />` O~I <br />...... <br />AMOUNT PAID ... .... $ 'llK f <br />` <br />... <br />BALANCE DUE ........... .. .$ <br />I,; ~ <br />BY ~ - ~ '''~ <br />