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<br /> DIVISION OF MINERALS AND GEOLOGY NO 6981 <br />mot/ <br />DATE ~./ 1019 <br /> RECEIVED ~ - $ / <br />FRDM <br /> (~~ <br />~ RS <br /> <br /> J/7 ~y~ ( <br />^ CHECK <br />FOR v/ ! ~ /// O /~/ ^ M.OH <br /> AMOUNT OF ACCOUNT ..........$ /~~ n` <br />' <br /> U <br />JOU <br />AMOUNT PAIO ...................$ <br /> BALANCE DUE . ..................$ <br /> <br />