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<br /> MINED LAND RECLAMATION DIVi51ON N 0 O O 9 7 O 3 <br />' <br /> 1313 Sherman <br />Denver, Colorado 80203 pA~ ~ -) ~ ~ y~ <br /> (303) 8664567 <br /> $ <br />RECEIVED M <br />FRDM ~ aa/!Yl/7Yl ; `~ of T" ~W . <br /> p- <br /> ^ CASR <br />~-7 `B.GHECK <br />3 <br />~ <br />~ <br />1~ 3 <br /> / . <br />~ <br />c <br />FOR p <br />~ 7167p M.O. <br /> <br /> AMOUM OF A COUNT...........$ '^'^ ,1 <br />Q/lK ~UI <br /> AMOUNT PAID .... ... ............$ <br />/ <br /> ( <br />BALANCE DUE ...................$ BY <br /> <br />