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<br /> MINED L! 1 RECLAMATION DIVISfON N r 15 4 3 <br /> I.~ Sherman, Rm. 215. - <br /> <br /> <br />!'~ <br />RECEIVED ~ J <br />Denver, Colorado 80003 <br />(303) 866-3567 n <br />_ /` <br />~ 11 C, ~ <br />DgTE ~' ~ 19~_ <br />/~ <br />f 1 $~ <br /> F <br />RO <br />M ~ <br />~ <br />!1 l/1 <br />K 41. CP1 <br /> <br /> ~ <br />~J/ <br />~ <br />~ /. /// <br />/ <br />~ <br />~ C~e <br /> / <br />~QO ' <br />/1.CIAlfl!/l2 <br />~i'-ll <br />/ `~ " <br />DOLLARS <br /> <br /> <br />FOR CLnM ~// ,, ~., ~/ ~±[ <br />%LXJ~ /~ / - +SJ'-3 ^ CASH <br />~/d~ $61~OECK <br /> <br /> AMOUNT OF ACCOUNT... ...... S Q~ <br />I <br /> AMOUNT PAID ............. ..... $ IC UU <br />lA U <br /> BALANCE DUE . ...... ..........$ BY <br /> <br />