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MINED LAND RECLAMATION DIVISKSN <br />1313 Sherman Street Room 423 <br />Denver, CO 80103 <br />(303) 866-3567 <br />RECEIVED FROM <br />THE SUM OF <br />FOR <br />AMOUNT OF ACCOUNT...... $ <br />AMOUNT PAVD ................ $ <br />BALANCE DUE ............... $ BY <br />(N°_ 00,,5298 <br />DATE _~L€L±L3~L~s ~i2 <br />~ J~~ Old <br />^ cPSt+ <br />/3.s? o o~K <br />~~1Qh~2 ~OU~ <br />