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iiiiiiiiiiiiiiiiiii <br />999 <br /> <br /> MINED L/' ~ RECLAMATION DIVISION rl~ 17678 <br /> I~.. Sherman, Rm. 215 - <br /> Denver, Colorado 80203- ` ~ = DATE ~- ~ r t9 ~L <br /> (303) 866-35&7 <br /> ' ~ $ ~ <br />RECEIVED ~ <br /> D' <br />~t <br /> ~ <br />~ ~ <br />~ <br /> C <br />/ CTLf /1 I U.C~/ ICY ~ <br />t it <br />__T~OOLLARS <br /> ; <br /> /j ^ CASH <br />FOR 4Gt^1!4 - ~ /',` ~ ~ /~~ (~9c~~~p M ~CK <br /> <br /> AMOUNT OF A OUNT. .. ......$ ^ ~ /~ ~O ' <br />~• <br />~ <br />J <br /> AMOUM PAID .. ................$ lA <br />~ <br />J <br /> BALANCE DUE .... ......... ....$ BY ~ <br /> <br />