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<br /> DIVISION OF MINERALS AND GEOLOGY RJo 2557/'2 <br />DATE ~U ~ ~ 1g~ <br /> RECEIVED $~ <br />FROM <br /> <br /> L ^ ~ `"~ DOLLARS <br /> <br /> /n~ //~// ^ CASH <br />FOR 1YVI 0 "7J[n ^ M.O. <br /> <br /> AMOUNT OF ACCOUNT...........$ f- 'A~ /~' I <br />` <br />' <br />A <br /> ` <br />J <br />AMOUNT PAID ........... .......$ n ,l <br /> BALANCE DUE ...... ............$ BY <br /> <br />