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MINED LAND RECLAMATION DIVISV NO 2166 <br /> 1313 Sherman Street Room 423 <br /> Denver, CO 80203 L <br /> DATE <br /> (303) 866-3567 ff1) N JJn is <br /> RECEIVED FROMM/I <br /> THE SUM C@�JAt /I 43r'1A0(✓IYc/f DOLLARS S <br /> FOR -Z2.4n.LUa i' �p_ / 0 wS O <br /> ly <br /> AMOUNT OF ACCOUNT......S thank ou► <br /> AMOUNT PAID................$ <br /> BALANCE DUE.. .............s BY <br />