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<br />MINED LAND RECLAMATION DIVISION N 0 ~ ~ 712 3 <br />1313 Sherman, Room 423 <br />Denver, Colorado 80203'- ~` OATE . N/~tJ Q_ ~s <br />(3(03) 866-3561 /`~ -(r <br />RECEIVED FROM 1' Q ~i 9 ~ ~-CmQ~A~.C~ X.G Il~7 <br />THE S~U/~~M""OAF ~Qn ~ ~/J r~_c (D/OLLARS $ ~ <br />ECK <br />FOR i~ •v_ ~! ~-a.F /'/ - O~' ~J ! ~~.3 ~ .~ p~ <br />AMOUNT OF ACCOUNT...... $ <br />tian~e oQQu//l <br />AMOUNT PAID ................ $ /` ~ ~y~ <br />BALANCE DUE ............... $ BY ~(/L/~/ <br /> <br />