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iii iiiiiiiiniu iii <br />999 <br />_ MINED L._ .D RECLAMATION DIVISION ~; _ 16 2 5 0 <br />1313 Sherman, Rm. 215 <br />Denver, Colorado 80203 DATE ~',O`i 19~L <br />(303) 866-3567 $ ~ . Q <br />RECEIVED <br />FROM ~ n .~. ~ ~ <br />/~ 1 00 <br />Sal ~ .mJ=~n~ ad,1`~ ~!1 -n..~~~ a- ~OO DOLLARS <br />^ CASH <br />FOR C.w. ~ `~~" 9q~°~ ~.~ 75/ ^ MHO. K <br />AMOUNT OF ACCOUNT..... ....$ ~°I ^'^~ /~'O~I <br />AMOUNT PAIO ...................$ J nlAll ``l JA <br />BALANCE OUE ....... ........... $ B`~~ ~11'Y~'/ ~~_° <br />