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<br /> MINED LANG 'CLAMATION DIVISION 0 <br />1 ~ 5 S 6 <br /> 1313 ~_..zrman, Rm. 215 ~ - _ <br /> Denver, Colorado 80203 PATE ~~~._ 19__L_-Z <br /> (~~ ((~~(3~~03~~) ((8~66-35/671 <br />RR <br />VED `~~Vl'a.C'Jf IJ~A,]'1~2(~~ ~_~/f, $ I D~ <br /> ~ <br />iJ ~ Q'J <br />~ <br />h <br />~ ~ <br />~{ <br />- <br />~ <br /> .c <br />~ <br />r <br />~ <br />v <br />,r ~r ct~ <br />rn <br />o <br />.r f ~ <br />- <br />o~uaRs <br /> <br /> // <br />~+ <br />~" <br />~ <br />// <br />/ <br />'G <br />'61 <br />ECK <br />n <br />~_ <br />~ , <br />$ <br />i <br />~y <br />' <br />~ <br />~~ <br /> M <br />^ <br />0 <br />e <br />OV <br />~ <br />FOR~rv/ 1 ~f, Q~ /~ <br />7 / <br /> <br /> AMOUNT OF OUNT. ........ .$ <br />~ r`~ ou! <br /> AMOUNT PAID ...... ... ... ....$ <br /> BALANCE DUE ... .......... ...$ BY <br /> <br />