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i <br /> MINED LAND RECLAMATION DIVI ' <br /> 1313 Sherman Street Room 41. N p 0242 <br /> Denver, CO 80203 C3 <br /> p (303) 866--3567 DATE J_Sf�-1S <br /> 3 RECEIVED FRO "' v n & <br /> THE SUM OF DOLLARS $ <br /> ❑ycn� <br /> G�L.t <br /> FOR J ❑rno <br /> AMOUNT OF ACCOUNT......$ <br /> AMOUNT PAID.. ..............$ �Ln/ <br /> BALANCE DUE... .. ..........$ BY <br /> .y <br />