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<br /> MINA LAND RECLAMATION DIVISION N 0 2 2 2 2 2 <br />1313 Sherman, Rm. 215 <br /> Denver, Colorado 801Q3 <br />~ <br />~ ` <br />~ <br />~ <br /> DATE <br />, <br />- <br />19 <br />(303) 866-3567 <br />RECEIVED i~,~ !~ (/^ D ~/q <br />FROM ~-.li. ry1 l <br />~ <br />~~.L1 ~-tY~t~(~. $ 7 /~. G <br /> {( <br />~ <br />t 1(/~ ~ I.~ ' Lit ~ ./hl <br />T ~~ 1y ~ ~a ~ ~e DOLLARS <br /> <br /> ~/ c) ^ CASH <br />FORCZI L?1 ~ OO !/Z O~ l~Ci~ /S7~-~HCK <br /> <br /> AMOUNT OF CCOUNT... .. ... $ <br />fn ~ <br />I <br /> ~ <br />O~ <br />AMOUNT PAID ..... .... $ Il <br /> BALANCE DUE....... ... ..$ BY ~ <br /> <br />