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<br /> DIVISI v OF MINERALS AN' GEOLOGY .-a 0 <br />T ~'~ 9 <br /> J <br />~-- ~ GATE /~ 19 <br />RECEIVED $ <br /> FROM <br /> ^~ ~ DOLLARS <br /> ^ CASH <br />nM y~ ' > ^ CHECK <br />FOR /J"//~ ~ ~J ~ O ~ D~l~ ^ M.O. <br /> AMOUNT OF ACCOUNT........... $ ~/~~~ r^ <br />~ ~~~! <br /> Il <br />AMOUNT PAID . ........... .....$ <br /> BALANCE DUE ....... ..... ......$ Y <br /> <br />