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<br /> DIVISI OF MINERALS AND GEOLOGY 7 81~ <br /> 1 DATE 19 <br />RECEIVED I ~ $® <br /> FROM ~~~111 <br /> ~~ <br /> ~ DOLLARS <br /> <br /> (~J~ ^ CASH <br />FD 2 ~ ~ ~ ~ ~O (x ~ ~6klECK <br /> <br /> AMOUNT OF COUNT. .........$ IA <br />AMOUNT PAID .............. ... $ IIQ~ OuI <br /> flALANCE DUE ....... ... .......$ SY <br /> <br />