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MINED LAi... RECLAMATION DIVISION <br />1313 Sherman Street Room 423 <br />Denver, CO 80203 DATE <br />(303) 866-3567 - ~f °" 0 0 5 2 6 9 <br /> <br />'IB ~(2_ <br />1,n-~ <br />4~ <br />Q~,~a~ <br />~ <br />r` , <br />RECEIVED FROM <br />n <br />, <br />1 <br />`~ <br />f <br />THE SUM OF ~~LIPf R~ to AALtY 4 (U ~ i4' ~ DLLARS $ ~ `~ O- v~ <br />FOR L'tT1l-~ ~DO /~ 1 ~~~' ~~~1/ ~~.Z~ OvECK <br />^MO <br />AMOUNT OF ACCOUNT...... $ <br />~~tQYl~2 Out <br />AMOUNT PAID ................ $ - / /I n <br />I BALANCE DUE ............... $ BY ~J 1 t ~(~N-v ~ ~ /'~ I' <br />