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MINED LF"7 RECLAMATION DIVISION <br />G Sherman, Room 473. <br />Denver, Colorado 80703 <br />(303) 866-3567 <br />RECEIVED FROM <br />THE SUM OF ~ ' ~ ~ I <br />FOR A I~'LVl ALPO /J/J <br />/~ i ' L' S <br /> <br />AMOUNT OF ACCOUNT... ... $ <br />AMOUNT PAID ............. ... $ <br />BALANCE DUE ............ ... $ <br /> <br />N~~°_ 0~~07~~ 902 <br />DATE ~~s <br />L 1~1111_kJ <br />]LLARS $ ~ ~ • v <br />^ c< <br />~. <br />^ M <br />~~anl~ ~oul <br />