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MINED LAND RECLAMATION DIVISION N O O Q 9 0 7 0 <br />1313 Sherman <br />Denver, Colorado 80203 DATE / / 7 tg~ <br />(303) 866-3567 $ <br />RECEIVED r /r~ ~ f~ <br />~ <br />M ` ! l 1 ! J'C~/~.rl. <br />l C~~ <br />~+'~~ <br />R <br />F <br />O <br /> <br />~ <br />~ <br />l <br />I <br />- <br />~ <br />L <br />^ CASH <br />J y, ^ CHECK <br />FOR (•m.yi l Lr ~~I'~7'~`{ f IC Ff ~~~/~D M.O. <br />/ ~ <br />AMOUNT OF ACCOUM.... ......$ ~I~ n'^ ~ ~ f oU I <br />11 -l <br />/ <br />~( <br />1A <br />J <br />AMOUM PAID .................. $ ~ b ~/J//J~ <br />Tit ~ G/L~ <br />S7' II l <br />r BY <br />6ALANCE DUE .............. .....$ <br />