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1 nzL~en~ <br /> <br /> MINED LAND RECLAMATION DIVISION ~J ~ 0 0 514 2 <br /> 1313 Sherman Street Room 423 <br /> Denver, CO 80203 DATE ~ ~ ~s `aS <br /> (303) 866-3567 <br /> A ~~ Qf' C: Y~F~ ~' <br />RECEIVED FROM _ <br /> 1 <br />~ <br />~ <br />- <br />G(~ <br />~ O <br /> l S A~ <br />THE SUM OF <br />?h <br />DOLLARS $ ' <br />~ <br /> L <br />^ cns.+ <br /> ey ~ c <br />FOR ~_~\h.,v~ ~~'ii ~ {77- ! 4'~.~ ~{ l7 7(~.~oCK <br /> AMOUNT OF gCCOUNT. $ I,~/~q <br />~ <br />..... <br />O~I <br /> YtUll <br />VI <br />AMOUNT PAID ................ $ ~•/~ f~j <br />~~~ ~ ~~~ . ' <br /> BALANCE DUE............ <br />..$ BY <br />^~ <br /> <br />