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<br /> MINED LAND RECLAMATION DIVI: ! ~ p O Q 4 2~ 2 <br />_ - I }I3 Sherman Street Room 423 <br /> - Denver, CO 80203 DATE _S~~ l'Z_~s <br />(303) S 6-3567 <br /> RECEIVED FROM '`- <br />, <br /> THE SUM OF <br />~- ~ DOLLARS $ ~~~ <br /> [] CAE++ <br /> ~ ^~ ~ ~k;NECK <br />FOR LV~-Uo $3-1oa ~~~ ^MO <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />~Qh{2 Out <br /> AMOUNT PAID . .............. $ <br /> BALANCE DUE ............... $ BY <br /> <br />Y' <br />