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<br /> MINED Lf )RECLAMATION DIVISION ~, i $ 71 1 <br />Is I ~ Sherman, Rm. 21 c, ~ ~7 Q <br />Denver, Colorado 8020?, ~ DATE ~1 ~ ~ <br />!~ <br />t9 <br /> j~~~ <br />RECEIVED (303) 866-3567 $ <br />~~~~ <br />9q~~ <br /> <br />F <br />R <br />O <br />M <br />L <br />1~tG- <br />wf <br /> _ <br />_ <br />,/ <br />/ ~ G ~ f/~~ ~y''7nA ,/per <br />C <br />/ <br />~!~/~ II.U/I GF,I/I1J ~ I.rILf/VLf ~ DOLLA S <br /> <br /> O CASH <br /> ~~ ~~77 q <br />!~ o7.~~J/ p ip K <br />FOR QiAi71 ~' ~/"CZ <br /> _ <br /> AMOUNT OF CCOUNT .. ... ...$ <br />l <br />~~ o <br /> <br />u <br />AMOUNT PAID .. ... .......... $ <br /> BALANCE DUE .. .. ..... ......$ BY <br /> <br />