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<br /> MINEL .AND RE.CLAMA710N DIVISION p Q 13 2 <br /> 1313 Sherman, Room 215 <br /> p/~ <br />Denver, Colorado 80203 DATE ~ - ~ ~ tB~ <br /> (303) 866-3567 <br />(}~ ~ Q $ <br /> ~ L r n CC/ <br /> <br /> I /~, G -1 C~ ^ CASH <br />~ % U' p klp K <br />~~ <br />~ - / S <br />~ <br />a S <br />' <br /> O <br />/ <br />d <br />C <br />FOR R~t-im V -( <br />L <br /> <br /> AMOUNT OF ACCOUNT...........$ /1 I^ <br />UI <br />n <br /> I <br />L <br />AMOUNT PAID ...... ........ ....$ /) <br />u~ <br /> ~ <br />j7 <br />~ <br />BALANCE OUE ...................$ BY \(~/ieLS[ <br /> <br />