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<br /> DIVISION OF MINERALS AND,GEOLpGY _ , N~ 26673 <br />DATES 19~ <br /> $ <br />~~D c <br />fin <br />-~ ~ S~ <br /> //~~ <br />/ <br />l~'= !'J ~7 -O `p OBE"--eouARs <br /> <br /> ~n y ry7 y Q o C~FI$ECK <br />FOR ~~~ J CC / i / U ~ -~O~ ^ M.O. <br /> <br /> AMOUM OF ACCOUfYT. .........$ Q~ 1'L ~ou! <br />AMOUNT PAID ... ............... .$ /l <br /> BAIIWCE DUE ........ ..........$ <br /> <br />