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• III Illllllllllll III • <br /> <br /> <br /> MINED LAND P' ,MATION DIVISION ~J ~ 5 2 7 6 <br /> 1313 Sherm~~treet Room 423 <br /> Denver, CO 80203 _ -DATE (L,,,,, ~ ~ ~s_~(L <br />`°"' <br /> (303) 866 <br />- <br />3567 <br />~f <br /> 11 <br />-- <br />(\~) n^ <br />~/L(~ W <br />~,7Y1 <br />~ ~ D T <br />R <br />I <br />F <br /> , <br />~ <br />ROM <br />ECE <br />VED <br /> c n <br />THE SUM OF DOLLARS $ ~SO' V D _ <br /> (LL(~~~~~~ ~~~~ n,, p CnS+K <br />FOR LXI2l1,~ /,/' S ~ ~ IDQ ~ ~.5~ <br /> AMOUNT OF ACCOUNT...... $ (^' I <br />Q~~ <br />OUI <br /> II <br />V <br />AMOUNT PAID ................ $ <br /> BALANCE DUE ............... $ BY <br /> <br />