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<br /> MINED LAND RECLAMATION DIVISION N 0 ~ 1017 3 <br /> 1313 Sherman ~+ C <br />Denver, Colorado 80]03 DATE S ' / / 19~ <br /> RECEIVED l e ,,,, (303) $66.356(J~ - n g <br />FROM WI' V~' .(.C/1 (' 1.1.1"~~± ~! /~ <br /> O <br /> ~.//'~~ ( <br />~IAJV ~~/n'L/Y ~0P CQ(~O Q ~ ~~~OLLARg <br /> /~ { ~J ^ CASH <br />FOR ~~/f//7 ~ /~ ! ~ ~ I - ~ / ~y~~U ~EDIC <br />i-- <br /> <br /> AMDUNT OF ACCOUNT...........$ I^ <br />1I <br />Q IL ~U. <br /> AMOUNT PAID ... .. ......... ...$ <br /> BALANCE DUE ... ......... ..... $ BY <br /> <br />