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<br /> <br /> .~s- <br />MI' ~ LAND RECL4MATION'VIVISION N~ 22153 <br /> U 1313 Sherman, Rm. 215 ~ <br />~~ 2~ <br />~ <br /> Denver, Colorado 80203 OATE <br />79 <br /> RECEIVED (303) 866-3 67 ~'~~ <br />~ <br />$ <br /> L~ <br />FROM ~ <br />' <br /> ~ ~j <br />D <br /> DOLLARS <br />1 ~ <br /> ^ CASH <br />3 I ~•CHECK <br /> ~ <br />FO ^ .D. <br /> <br /> AMOUNT OF A UM... ... ..$ <br />~ U I <br /> AMOUNT PAID. .......... ~ <br /> BALANCE DUE .. ......... ... ..$ BY <br /> <br />DIVI~ V OF MINERALS •AND GEOLOGY ~ D 2617 7 <br />.. <br />DATE ~ Z '19 J' <br />RECEIVED (~ --.{{-.. ,}p $ <br />FR~OM7'- ~r/.L,/~„_. / C(n_.A...~c~~(c~ "`"\)(S Du <br />FOR _ /S~l '~ -7 R3~~_ i QMn 1 ~~ 12? 7 ~/ ~ ~ CHECK <br />^ M.C. <br />AMOUNT OF ACCOUNT. .........$ <br />AMOUNT PAID . .................$ <br />BALANCE DUE ... ............. $ <br />~l ~lQV1I¢ ~((~~ ~U ~ <br />BY ~ ' lax <br /> <br />• <br />i <br />