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• ~iiiiiiiiiiiiiiiiiu~ • <br />999 <br /> <br /> DIVI` V OF MINERALS AND GEOLOGY ~,Jp 27883 <br /> \) <br />J c ~ DATE CQ~30 1 <br />9 <br />~`-' <br /> " <br />~/ <br />RECEIVED O ~ ~ $ ~~0 <br /> . <br />FROM T <br /> ~ <br />,~ <br />~ <br />a`~ RS <br />~ <br />- <br />- <br /> ~^y -7 ~y~ <br />~7 <br />~ <br />J~'GC ~ / ~'Ll/~ ^ CHSECK <br />^ M.O. <br />Cam'/ <br />F <br />OR <br /> AMOUNT OF ACCOUNT...........$~ ~~/y~ '^ <br />QIl ~~~ I <br /> AMOUNT PAIIJ . ..................$ <br /> BALANCE DUE ........... ........$ <br /> <br />