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- ~ --~• <br /> <br /> MINED LAND RECLAMATION DIVISIdN N 0 0 Q 9117 <br />1313 Sherman <br />Denver, Colorado 80203 DATE ~ 2• - Z. t9 ~" 8 <br />/~ (303) 866-3567 <br />RECEIVED y-„ lL ~S ~"~--/--- _ _ $® <br />FROM ~ I~C,PS~'L9~/1 ~ l-L~~YID <br /> ~-( ~ C~ <br />`K~( ~lJ °1' DOLLA <br /> <br /> ^ CASH <br />•f9.CHECK <br />FOR - ~ S s s ^ M.D. <br /> <br /> AMOUNT OF AC UNT......... .$ 'A ~n <br />~ <br />~' <br /> AMOUNT PAID ........ ..........$ IlQrl <br />O <br /> BALANCE DUE .... ............. .$ BY <br /> <br />