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DIVISION OF MINERALS AND GEOLOGY NO 25683 <br /> DATE ' O 19 M, ] <br /> R_ECEDqIbF t F_r P ll�nps ,jn(M <br /> 1 V(f Y W -/ ylctQ d /ID $ DOLLARS <br /> 0 CASH <br /> FOR A.I06 / i4o k CHECK <br /> M.D. <br /> AMOUNT OF ACCOUNT...........$ <br /> AMOUNT PAID.............. ....$ CA0 1�'^ ou l <br /> BALANCE DUE...................$ ��- <br />