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<br /> MINED LANG -CLAMATION DIVISION N p 181 ~ 5 <br />1313 •rman, Rm. 215 <br /> Denver, Colorado 80203 //~ '~ ~J/ <br /> (303) 66-3567 DATE~19~ <br />ED $ <br />2 <br />F <br /> O <br />1 <br />ROM <br /> ! DOLLARS <br /> <br /> /,, ~r/~ C / / <br />aCHECK <br />FOR L':/NY~ ~Xf/ /, / O ~ - l CP CA H~~ ^ M <br />OH <br /> . <br /> AMOUNT OF CCOUNT...........$ I1 <br />I <br /> AMOUNT PAIO ..... ............$ 2 U <br /> BALANCE DUE ............. .....$ BY <br /> <br />