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<br /> MINED VD RECLAMATION DIVISION .D 22945 <br /> rS 13 Sherman, Rm. 215 <br />Denver, Colorado 80103 DATE ~' ~~ is~3 <br /> . <br />03) 866-3567 <br />$ <br /> RECEIVED I ~n ~{ <br />. <br />1 <br /> , <br />~ <br />,~,~~• L~ <br />FRO 1 U ~l ~ 1 <br />fr/ <br />,, c-}J-- CX~ <br />/ <br />~ <br />' <br />~ <br /> ~~ <br />- <br />_ <br />% <br />/11.~~1LI,L.! ~I <br />~1LU] I,LC/lA <br />DOLLARS <br /> i <br /> CASH <br />^ <br /> .C <br />/~/7~ ^-7 /~ /~ ~y~~ ~ <br />FORCJ~~I~/I'I .F~ ~" / / 7- 5(c (J dUl~~~ O Iv1~0ECK <br /> <br /> AMOUNTT OFT....,. ....$ ~ f\ ~ <br />! <br />~ <br /> ~ <br />AMOUNT PAID .... ... ...... ...$ ~ <br /> 'VV Y <br />BALANCE DUE ...... ...........$ BV~ <br /> <br />