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Mlh. LAND RECLAMATION DIVISION `f <br />1313 Sherman, Rm. 215 IV ~ 1 6 2 5 1 <br />Denver, Colorado 80]03 /1 <br />(303) 866-3567 ~ DATES~e~S iyg~_ <br />RECEIVED /~ rte, O $ ~~~ <br />FROM I ~ L.._ _ e ~ ~ ~•~,p ~. ~ n [~ a t~ 0, Q~ <br />. ~ ~ ~.i. OD/ _ <br />1 ~ DOLLARS <br />^ CASH <br />FOR _~~ qFa C9'L;IiECK <br />^ M.O. <br />AMOUNT OF ACCOUNT.......... $ <br />AMOUNT PAID .... ............. $ V ~U~~ ~O~' <br />BALANCE DUE . .................$ <br />