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<br /> DIVISION OF 'INERALS AND GEOLOGY N ~ 2 4161 <br /> DATE 19~ <br /> RECEIVED U \ 1 ~ ~ ~ S, , ~ ~ I ~ $ n-~ <br />~ <br /> GY.~ <br />FROM 0 W ~ . ~-~C=F1 t X.t .1 ! T~) <br /> / <br />` DOLLARS <br /> <br /> CC ^ CASH <br />FOR ~ ~ 03 ~' J (JSo~ O M.OGK <br /> AMOUNT OF COUNT....... ...$ r^ <br />,l~ ~~ I <br /> AMOUNT PAID .............. ....$ <br /> BALANCE DUE ................ ..$ BY <br /> <br />