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<br /> MINED LAND RECLAMATION DIVISIC N~ 2 6 9 5 <br />_ 1313 Sherman Street Room 413 <br />Denver, CO 80103 DATE ~ ~ _~ is Q <br /> 303(_ .) 8 <br />567 <br />6- <br />3 <br />/ <br />~ <br />~ <br /> / <br />/ <br />,~ <br />~ <br />~ <br />j <br />RECEIVED FROM <br />~ Q ~ `~C~ <br /> m0 <br />THE SUMO ~ DOLLARS $ ~~,- <br />^cas-i <br />>~QiECK <br />FOR ~ ` ~ ^rN.o. <br /> AMOUNT OF ACCO NT.. .. .. $ I ^ul_ /1 lOu~ <br />l ~ <br />( <br />~ <br />n <br /> ` <br />/ <br />U/lri <br />AMOUNT PAID ................ $ ~L~ <br />t <br /> BALANCE DUE ............... $ BY <br /> <br />