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<br /> <br />C~ <br />MINED LAND RECLAMATION DIV. ~N NO 1564 <br />1313 Sherman Street Room 42~ <br />Denver, CO SO703 DATE 5 I ~s g`~ <br />(303) 866-3567 <br />RECEIVED FROM ~Q. ~~ ~ri~n .. ~~'t n-.~ ~ ~~/v.. <br />THE SUM OF ~~fll~ ~v Il,kmc~tia~ .4~pOLLARS $ ~ S O. OO <br />FOR "~~'-~ ~ "+ ~ ~ • ~ ~ ~ S S ~ CHECK <br />AMOUNT OF ACCOUNT......$ U ~kan~ ~O~I <br />AMOUNT PAID ............ ... $ ~1 <br />BALANCE DUE .......... .... $ BY <br />