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<br /> <br /> <br /> DIVIF"V OF MINERALS AND GEOLOGY ~ ~ ~ 2 412 <br />4 <br /> ~j <br />DATE ~ ~ a~ 19 / 3 <br /> D <br />G( <br />" <br />QU <br />I <br />~I <br /> o <br />A/ <br />~m i <br />ir7 <br />J . ~.l <br />1 f <br />FROM t `J n ~ YL <br />!j- ~~ <br /> ~ ^ CASH <br />- 8D-$U ~~~/ ~ p M 0 K <br />FoRr/ti'irr-i <br />~n <br /> ~ <br />~ <br /> / <br />/ <br />AMOUNT OF COUNAC T...... ... $ <br />Q~I <br /> AMOUNT PAID... .. ... .. .. $ <br /> BALANCE DUE .... .. .. ... ...$ BY <br /> <br />