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~~ <br />NINEf 'AND RECLAMATION DIVISION <br />_..313 Sherman, Rm. CIS <br />Derner, Colorado 8003 <br />(303) 866-3567 <br />RECENEO~ _ ~ ~• ~J <br />~r~ ._ <br />AMOUNT OF AL>COUNT... .. ....$ <br />AMOUNT PAID ........ ..........$ <br />Et4lANCE OUE .. ....... .. .....$ <br />BY <br /> <br />J~°~'~ ~2"~19 ~ 9Q-~ <br />DATE .J~_~ L- 19~ <br />~ $ 9 .Ck~ <br />^ CASH <br />'B-CHECK <br />^ MA. <br />DIYI` I OF MINERALS AND GEOLOGY <br />RECEIVED <br />°_ 2624Q9~ <br />DATE u - ~ 9 19 ^~ <br />$, <br />AMOUNT DF ~OUNT...... ....$ ~~ N~ O I <br />AMOUNT PAID ............. .....$ (~1 <br />~ BALANCE OUE .................. .$ BY <br />