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III Illlllllllllllll <br /> <br /> MINED LAND RECLAMATION DIVISION N ~ 0112 44 <br />1313 Sherman, Room 215 <br /> ~~iqC~ <br />Denver, Colorado 80203 DATE l l - 9 ~95~ <br />(303) 866-3567 <br />RECEIVED $ <br />~ <br /> ,S (1 <br />.P, fY~ D <br />F <br />OM <br /> R <br />o ~.., . <br />~Ft .~-1 °C Oe RS <br /> <br /> ^ CA$H <br />~y1 -7 $CHECK <br />P 0 /~ / ~ ~ / ' S 7 a/O(a ^ M.O. <br />FOR ~ <br /> ~ <br /> AMOUM OF ACCOUNT....... ...$ I^ <br />~ <br />~ <br />! <br /> QII <br />OU <br />AMOUNT PAIR ............ .......$ <br /> BALANCE DUE ...................5 BY <br /> <br />