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<br /> DIVISION ~ MINERALS AND GEOLOGY ~n,~/ 2548~8?S <br />DATE ~ 19 /~ <br /> RECEIVED $ ~S'i-y <br />FROM ~~ll// <br /> <br /> <br /> ~~"~ ~~ / !~7 J ~pCK <br />FOR (~l~Ly <br /> ~ <br /> AMOUNT OF ACCOUNT. ..........$ <br />~ <br />~ <br /> AMOUNT PAID ... ..............$ (r^,,'v •~Qy/„/~ <br />~,,O~Up <br />fl4LM1CE DUE ...................$ HY y_ / l ~L/"V`Li <br /> <br />