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III IIIIIIIIIIIII III ~ ~ <br /> <br /> MINED LA. ., RECLAMATION DIVISION nj~ 18496/ <br />1313 Sherman, Rm. 215 <br />Denver, Colorado 80203 - DATE Z' ~ t9 ~ <br /> /^' (303) 86n6-3567 S <br />~ <br />ED <br /> Y <br />LC/~P-. <br />~J~ <br />l -(1.1~ D LI l aZ <br />FROM <br /> -- <br />rr <br />~~I.I.Lr! ~~l ~S~ ~/ ~~ RS <br /> <br /> ,,//,,- /y~ C //q C ^ CASH <br />FOR /QA~/I 1 4W1' /~ /- 70' ~7 / /l0 7~ p M p <br /> <br /> AMOUNT OF ACCOUNT ......... $ '^I^ <br />IIYG DUI <br /> AMOUNT PAID ... ... ..... .. .$ <br /> BALANCE OUE .. ..... ... ... $ BY ~ <br /> <br />