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PENN MOUNTAIN DETACH AND RETAIN THIS STATEMENT <br />rHe ~ c..co cHe<K i N r.vrevr o. i e s oexwiseo ec~ow. <br />MINING CO., INC. ~• wor connECr P~ewse ~oriFV us rnoMrTiv.~ -e necEivr ecev+co. <br />\i DELUXE -FORM WVC•~ V•2 <br />DAT[ DEe CgIPT1ON AMOUNT <br />apllication fee recl permit <br />~~~~iv~® <br />Fib 20 =~~ <br />MINED ~pNO of N MAgIIRoSOUtC86~~ <br />Culo. DeP <br />Ml <br />~~ .i r •. .. ..Ayy. <br />"" MINED LgND REC wTION DIVISION N o 3. 7 <br />1313 Shermar a:eet lloom 423 it <br />Denver; CO 80203 GATE ~~~~a <br />(303) 86Cr3567 ~ <br />11 // 'fin ~ /~. i ~~ <br />RECEIVED FROM J~1 _ ~ ~ /' i ~. . ` i_ R7/. in i;.a / ~ .. ~ ,..r' <br /> <br /> THE SUM OFi <br />. t ~/1 ~ ~ <br />.` ~ I <br /> ~ <br />V ~ ^ ARS $ . <br /> • ~ • 11i,< <br />F <br />i ~^ <br />/ vJ ~ / <br /> OR l <br />- <br />i <br />AMOU OF ACCOUNrI'..... ,$ _ <br />. <br />~ I t`_ <br />~ <br />i AMOUNT PAID .............. . $ <br />GALA DUE ......... .... . $ ~ i <br />~~~ <br />+®~,.. w . ... s .... +. <br />~ ~,~ ~ v . . <br />.G' G <br />f ^ css-. <br />~yECK <br />QMO. <br />~~ ~ <br />