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<br /> <br /> MINED LAND RECLAMATION DIVISIONS ~`: N ~ 21519 <br /> 1313 Sherman, Rm. 215 <br /> Denver, Colorado 80203 " DATE ~ " Z 19 ~Z <br /> (303) 866-3567 <br /> AECEIVE ~n _ _ `'~ ~ $ <br /> <br /> ~ <br /> C_.l~l'1/~ ~tA[/~.~Q~( _~IJ~Q~ <br />e Y" /SRS <br /> ^ CASH <br />/ <br /> ~ -'8.611ECK <br />~ - ~ <br />( <br /> P <br />FOR ~ ~ <br />^ M.O. <br /> 1 <br />AMOUNT OF A OUM..... ... ...$ r <br />~~ 1Q YL <br /> AMOUNT PAID ....... ....... ... ..$ <br /> BALANCE DUE .................. '$ BY <br /> <br />