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<br /> MINE' \ND RECLAMATION- DIVISION ~ 16 Z 17 <br /> •~_~.113 Sherman, Rm. 715 p / <br />Denver, Colorado 60703 - <br />~ <br /> DATE_L2! <br />-~9__L_ <br />(303} 9664567= <br />3 <br />~ <br /> e <br />n OEM 1 <br />'1J <br />X A <br />~ <br />FRD <br />M <br /> Jgq <br />/,nom' <br />~/y <br />/~~ ~~ <br />_ <br />/ <br />`"i~~'~ Y~l~vt ~-JE~I (1 ~7` / J CCLlAR5 <br /> !/ <br /> ^ CASR <br />,JUG V <br />FDR~ ~ i 1 ' ~~ - ~ ~ ~ HD. <br /> AMOUNT OF A (;OUNT. ..... ,. $ h~ Qu! <br />AMOUNT PAID ...... ...........$ <br /> RAIANCE DUE ....... .. ...... .$ 9Y <br /> <br />