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III IIIIIIIIIIIIIIII <br />999 <br /> <br /> MINE AND RECLAMATION DIVISION 1 0 0 6 7 9 7 <br /> `--1313 Sherman, Room 423 <br />Denver, Colorado 80203 DATE ~~ ~ 19 <br />(3 3) 866-3 67 <br /> RECEIVED FROM <br /> ~~(( ///I /~// \ <br />THE SUM OF <br />' V6 <br />0 <br />L <br />LARS $ <br />~ <br />~` <br /> / <br /> ?(~ <br />~ n <br />/ <br />, <br />, <br />/ <br />FOR ~`Z/~ ,/ `--~ ~ ~V/ - ~J 2~i lL Q~Z ~o~K <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />Q ~UI <br /> AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ BY / <br /> <br />