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<br /> MINED LAND RECLAMATION DIVISION N~ 011371 <br />1313 Sherman, Room 2i5 <br /> Denver, Colorado 80203 DATE ~ 19 8~ <br /> (303) 866-3567 $ <br />RECFNED T ~ <br />~ <br /> FRDM \' ~J-Q- <br />Wn <br /> / <br /> ~-~ <br />Y' !~!9- -- - - - Doulws <br /> , ~ <br /> ^ CASH <br /> ,// /y~ c <br />FOR ~ VitM U~P Q // / - O 7 - I ~ ID .~-S~ 7 O M O. K <br /> <br /> AMOUNT O~UM...........$ 'A 11 <br />1l~ UI <br /> AMOUNT PAID . .................$ <br /> BALANCE DUE ...................$ BV <br /> <br />