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~~l® f <br />~ <br /> K <br /> MINED LAND RECLAMATION DIVISION N ~ 0 0 717 3 <br /> 1313 Sherman, Room 423 <br />Denver, Colorado 80203 _ DATE a1~z.11~,s i? ~_ <br />(30) 866-3567 <br />~ <br /> ^ _ ~ // <br />) <br />RECEIVED FROM !~/ ~], /~-1'ti/LYI ~K_i' .S /YlD <br /> ~{,!~) ~~~ <br />THE SUM OF 1 ~ ~ O~/~ ~`/ /~OLLARS $ <br />FOR .UC_Y // ! ~ a l1~ ~ Y~ ~.j ~/~ ~ ~N <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />oul <br />an <br /> ~ <br />AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ By <br /> <br />