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<br /> MINED' 'D RECLAMATION DIVISION I\ 012648 <br /> I:,.s Sherman, Room 216 <br />Denver, Colorado 80203 DATE y_ / ~ ~B ~~/ <br /> (303) 866-3567 <br /> <br /> ~ <br /> DOLLARS <br />I ~ ~vV V <br />~L <br /> <br /> ~y/ C <br />FOR /'/-~0 ~o~~~ a~/~$2'B~C2IDECK <br /> <br /> AMOUNT OF ACCOUNT...........$ <br />~ ou! <br /> ~ <br />AMOUNT PAID ... ....... ... .... ..$ <br /> <br /> BALANCE DUE ...................$ BY <br /> <br />