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<br /> <br /> <br /> MINED LAND RECLAMATION DIVISION N O ~ ~ 8 7 71 <br /> 1313 Sherman <br /> Denver, Colorado 80203 <br />~~ - ~ Z <br />~ ~ <br /> DaTE <br />i 9 <br />(303) 8663567 <br /> RECEIVED `` /y~ $ ~ <br />FROM `.1 Ca_n_ v\ c t) I' l.~' l._T~~ Cl.ti/ ~-C~ C' ` <br /> ~~ <br /> ~~ <br />~--1. ~ ~-r <br />('_- ..~._-___ DOLLARS <br /> ^ CASH <br />~~ -CHECK <br />( <br />~ <br /> Y ~ <br />~F ~ ~ ^ M.O. <br />FOR ~ <br /> <br /> AMOUNT OF ACC NT........ ..$ /'~ <br />Q ~ ~O ~I <br /> AMOUNT PAIO .. ....... ........ $ ~ ,• <br /> i ~ ~ <br /> BALANCE DUE ....... .. .......$ BY <br /> <br />