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MINED LAND RECLAMATION DIVIAVN <br />1313 Sherman Street Room 423 <br />_ Derr.~er, CO 80203 <br />(303) 866-35§~ _ <br />N~ 3875 <br />GATE ~,..,~. a19~ <br />RECEIVED FRCM <br />THE SUM OF <br />DOLLARS $ ,~ D- l' /LJ <br />FOR <br />AMOUNT OF ACCOUhIT...... $ <br />AMOUNT PAID ........ ....... $ <br />~tiQft~ ~Oul <br />., ~ <br />BY <br />