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<br /> MINED LAND RECLAMATION DIVISIC"' N~ 0168 <br />1313 Sherman Street Room 423 <br /> Denver, CO 80203 <br />`' ~ <br /> ~s <br />67 DnrE <br />(303) 866-35 <br /> ( <br />~~n /~ 1[ S~-A ~~~(~ C <br />RECEIVED FR <br />OM <br /> ` <br />' <br />~~ ~ (j'~/ <br />~ <br /> THE SUM OF <br />OLLARS $ y/_V_i 1~L-S~ <br /> ^ CASH <br />! <br />, <br />' <br />/ <br /> / <br />pGK <br />^ n ~ <br />~/ ~ "l <br />/ ~~Q~j <br />( <br />~ <br />~ <br /> ~ <br />7 <br /><H ~'J ~ ~ ~ 0 <br />X Q .fJ (l / <br />FOR <br />J <br />// <br /> . <br />-- <br />- <br /> oul <br />T OF ACCOUNT .....~ ~~^ ~ ~ <br />AMOUN <br /> AMOUNT PAID... .. ..... $ U / <br />/- <br />( <br /> BALANCE DUE ............... $ BY O <br />~I <br /> <br /> <br />