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<br /> MINED LAND RECLAMATION DIVI! nj o 0 6 5 3 <br />1313 Sherman Street Room 42~- <br /> Denver, CO 80203 DATE ~/2~ ~s~3 <br />(303) 866-3567 <br /> P <br />RECEME^ FROM C 'Z" ~ C~t1a~~ ` ~~`-~'~1, Z__ ~~--- <br /> D <br />THE SUM OF ,' ~ i00-- DOLLARS $ ~-~n <br /> /~ ~~ G^ /~ ^cns-i <br />FOR W!/' ~ W-, ~14 Zc~`~I ^MO.CK <br /> <br /> AMOUNT OF ACCOUNT...... $ <br />kanl~ oul <br /> AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ BY ~ nd- <br /> <br />