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<br /> MINED uND RECLAMATION DIVISION N ~ 0115 6 6 <br /> 1313 Sherman, Room 215 <br /> Denver, Colorado 80203 O ~ <br />DArE ~ - ~~ ~9 <br />SL <br /> _ <br />(303) 866-3567 <br /> AoM ~ ~ o,~u 5~xu~ $ 3.50. GYM <br /> ~~ <br /> - J/ ~7 <br />FOR CiiiYl/Yi W I~0 /~ / ~ l ~O ~Y ~ ~ 0 ~ECK <br /> AMOUNT OF AC OUNi...... ... $ ~ ,A ~ <br /> u <br />AMOUNT PAID .... ........ ... ....$ Il <br /> BALANCE DUE ...................$ HY <br /> <br />