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III IIIIIIIIIIIII III <br /> <br /> <br /> MINEf 4ND RECLAMATION DIVISION 0 Q Q 9 2 8 7 <br /> 1313 Sherman ~ <br /> Denver, Colorado 80103 DATE ~ - ~ ~ 19~ <br /> ~ (303) 866-3567 <br /> RECEIVED ~ .,L $ <br />FROM Cf r~i ~ ~~( :L -~i "1 /~~ ~~' <br /> / t L ~' <br />/ <br />~ <br />~ <br /> ~~C~ <br />~~1 l r I i. \Ll~ 4 . iF-t ~c~l f.: r7.E' ~r' <br />rte <br />( <br /> ^ CASH <br /> n (,, / <br />FOR ~~~~ /r l ~ / ~ Lr ~ ~,7 r~C it I Ip p~Mip, K <br /> <br /> AMOUNT OF AC UNT... ........5 <br />` <br />l <br />A <br />~ <br />l <br /> QII IG <br />` <br />J <br />ou <br />AMOUNT PAID .............. ....$ llrl <br /> ' ~ c. <br />~ <br /> BALANCE DUE .... ..... ..... ...$ BY <br /> <br />