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MINED LAP' RECLAMATION DIVISION <br />13i~herman, Ran. 215 _ <br />Denver, Colorado 90203' - <br />RECEIVED /) O _ ~ n <br /> <br />N.'' 21439^^ <br />DATE °~ ~ 19 7Z <br />7$ y9~ <br />~~/~i~---. - <br />^ CASH <br />-~9-CkIECK <br />_ ^ M.O. <br />AMOUNT OF q~COUM...... .. .$ <br />AMOUNT PAID .. ......... .. ....$ Q ~ U I <br />BALANCE DUE ........ .. ..... ..$ By / ~ <br />