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<br /> DIVISION OF MINERALS AND GEOLOGY <br />N~ 255 <br /> _ <br />DATE /D - y 18 <br /> RECEIVED '` ~ $ <br />FROM <br /> <br /> Q p~-~.~ <br />FOR - t7 "~/C~ ~O /"gyp C} ~ M K <br /> AMDUNT OF COUNT.. .. .... $ <br />~ <br /> AMOUNT PAID ............ ......$ ~ / <br />~ O <br />/ <br /> BAIANCE DUE .............. ....$ BY ~ <br />~'~ ,W, , <br /> <br />