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MINED L4ND I AMAiION DIVISION <br />N ° <br />J 5 3 2 4 <br /> _ _. <br />1313 Sherman Street Room 423 , <br /> _ <br />Denver, CO 80203 DATE ~~b~~s1 <br />~ <br /> - <br />(303) 866-3567 <br /> ((~~ <br />Gri <br />C <br />~LLL~( <br />L LL <br />1 - <br />k` <br />~~~1 <br />` <br />`a <br />~ <br /> . <br />, <br />1 <br />RECEIVED FROM <br />~ <br />. <br />- <br />= <br />/ <br />/ <br /> f/~'( <br />I <br />` <br />THE SUM OF~ {~- On e 1 '-~ <br />L <br />fL~ ,..YT4l-3-C (i-2". DOLLARS $ -~-~~/ ~ [~(, <br /> ~ ^CASF1 <br /> \\ <br />FOR ~\I~l Il ~ ~'/ 7C~C /I(~~~MpCk <br /> AMOUNT DF ACCOUNT...... $ <br />tianl~ oul <br /> AMOUNT PAID ................ $ <br />/ '7 <br />~ <br /> ~ <br />6ALANCE DUE ............... $ BY ~ ~-~,`) ~.'L <br />~ <br /> <br />