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<br /> DIV N OF MINERALS AND GEOLOGY J <br />O <br />Z G Z Z 2 <br /> ' <br />/ - / ~ <br />- DATE I / - / 7 19 / <br /> RECEIVED $~ <br /> FRO <br /> <br /> ~ ~ OLLARS <br /> ^ CASH <br /> /J~ '''y~ <br /> FOR FO 7~ 7 <br /> <br /> AMOUNT 0 ACCOUNT...........$ f^ ~11'n^ I^ <br />ul <br /> AMOUNT PAID ....... .... ........$ "IQII K, Q <br /> BALANCE DUE ...................$ BY <br /> <br />