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<br /> MINED ' 'D RECLAMATION DIVISION ~ <br /> ~m~3 Sherman, Rm. ]IS <br /> c~~ <br />Denver, Colorado 80]03 - PATE ~ - ~r~ 'IB~_ <br />6 <br />- <br />3567 <br />( <br />303) <br />86 <br /> JJ ~],, ~ { <br />/ <br />y <br />X <br />1_ n - ~ / <br />ED <br />~ <br />~ <br />$~ <br />~ <br /> W p' L,~LLL X!l /y <br />icA7 <br />FROM <br /> ~s, <br />~ <br />_ <br /> ~ <br />~ <br />~ <br />(~~ <br /> '7 I/ <br />7p <br />/1 '~ ,,, n~ nn /~/L/, <br />!CJ ~I~~ '~ ^^ oCK <br />FOR ~veyi~YxY " / ` / " 7J / <br /> <br /> AMOUNT OF AC OUNT..,..... ..$ 'A r_ O~( <br />AMOUNT PAIO ............ ... ..$ r1 KJ I <br /> BALANCE DUE ........ ..........$ BY <br /> <br />