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.~~ <br /> <br /> MINED LAND RECL! T10N DIVISION N p ~ ~ <br />:~ 7 2 <br /> ~ <br />1313 Sherman Sint Room 473 <br /> Denver, CO 80703 DATE `~~:=~ /L~ ~s ~~ <br /> (303) 866.3567 <br /> r(,~ ~ <br />~ 1C(~n'1 ~~. <br />~ <br />1 <br />° <br /> ~ <br />~Y <br />~S <br />RECEIVED FROM <br />~i <br /> 1 7 <br />THE SUM OF 1~_~~+ ~ ~ nC` SCI ~~ DOLLARS $ ~' `~ ' ~~ C~ <br /> ? ^cn~ <br />~~ <br /> / <br />av.cCK <br />FDR ~~~~ I - A7 -s S fill /•;~~r'( ^M.o <br /> <br /> n fo'I! <br />AMOUNT OF ACCOUNT...... $ ~ <br />~/ `l <br />,~ <br />I Q <br /> J <br />I <br />IA <br />IIF <br />AMOUNT PAID..... ...... . $ ,y/ ~/ 11 <br />d' /' <br />- ~ <br />'~1 <br /> -~ <br />- <br />BALANCE DUE . .. .......... ..$ BY <br /> <br />