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iii iiiiiiiiuiii iii <br /> <br /> DIVISION OF MI/NERA/~LS AND uEOLOGY N----~JJ~854 <br />7-~/~ / /"]~~~~ DATE 19 <br />FROM 6~ IJ~ <br /> <br /> _ ~~ ~ DOLLARS <br /> /' ~~ p~ ^~ / ^ CABH <br />y~~ <br />a ~Q ~~JJ /Yl ^ CHECK <br />FOR ~^ ^ M.O. <br />AMOUNT OF ACCOUNT...........$ ~_ _~LL~J r, IP'I^ 1'~^7 ~1Q /~ 1 <br />AMOUNT PAID .............. ...$ `vrlQllb `I~OUI <br />r <br />BALANCE DUE .......... .. .....$ BV <br /> <br />