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III IIIIIIIIIIIII III <br />999 <br />MINED LAND RECLAMATION DI..ION <br />,1313 Sherman, Room 423 <br />_ - Denver. Colorado 80303 <br />RECEIVE^ FROM <br />THE SUM OF <br />FOR C;SC~ ~ Qv Y' I <br />AMOUNT OF ACCOUNT...... $ <br />AMOUNT PAID ................ $ <br />BALANCE DUE .... . .......... $ <br />N~°_ 00-8645 <br />TE2 l 7 _ '19 <br />~ ~ /? <br /> <br /> <br />