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MINED LA RECLAMATION DIVISION nJo X06905 <br />1313 Sherman, Room 413 ~ -~ <br />Denver, Colorado 80103 DATE a ~ ~9 ~- <br />(303) 866-3567 (/~~ ~~ <br />RECEIVED FR~ L a' ~ ~ ~r~ 1 'I~ G~ -" "- ~ /~\\ <br />THE SUM OF or 1\1I.n~Md.~ .! l ~tl, y~DOLLARS $ ~~~"' v <br />FOR ~ i ~ Y~ /~ I ~ ~ . ~I 31~"~~a%~[.'~O 7~ nr,nooc <br />AMOUNT OF ACCOUNT.. . ...$ ~I,^pl.. <br />YIIA'1~~// l I IOUI <br />V <br />I 1 <br />' <br />AMOUNT PAID ............. ... $ / <br />` <br />aol AN(^.F OUE ............ ... $ BY <br /> <br />MINED LAND RECLAMATION DIVISION <br />1313 Sherman, Room 115 <br />Denver, Colorado 80103 <br />(303) 866-3567 <br />~ oM ED ~~ ~, r1c11 e ~ f ~~m.c Np 012366 <br />~y/l <br />DATE a -~Ca 19 /V <br />$ <br />~a ~~ <br /> <br />~ ~ DuaRs <br /> <br /> <br />FOR ~-~~L/~l <br />~ ^ CABH <br />y(o yo~ ~CK <br /> <br />AMOUNT OF AC OUNT...........5 <br />z~ oul <br />AMOUNr RAID . ..................s <br />BALANCE DUE . ... ..............5 BY , <br /> <br />MINED LAND RECLAMATION DIV,.,.JN <br />1313 Sherman Street Room 413 <br />Denver, CO 80103 <br />(303h866-3587 ~ ~ ~ <br />RECEIVED FROM <br />N°_ 004114 <br />DATE ~'19 ~~ <br />THE SUM OF DOLLARS $ v w <br />^ ras+ <br />_ ECK <br />FOR ~ No <br />AMOUNT OF ACCOUNT...... $ <br />~~tQh~Q OUI <br />AMOUNT PAID ................ $ <br />BALANCE OUE .. .. .. ..... ... $ BV <br />