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<br /> <br /> MINED IAND RECLAMATION DIVISION N~ 0 0 7 2 3 3 <br /> 1313 Sherman, Room 423 <br />Deriver, Colorado 80203 . DAre ~ 3 ~s <br />(303) 866-3567 <br />' <br /> ~/7•.~ <br />~lr) ~ <br />RECEIVED FRO <br />M <br />% <br />~ <br />~' <br />J <br />~ ~ <br /> 7~Qy <br />S ppp...,,, <br />~/I <br />,,__ <br />J <br />I <br />~ <br />- <br />THE SUM ~w/~~/~/~/~1' SC~IYM.C/ 1~h°'pd[LAR$ $ ~ ~"' <br /> y~ L ~j ![]ccns+ <br />FDR ~r/1'Lii'l ~ // ~ - V ~ `- 7 ~ _ .3~rMOCK <br /> <br /> AMOUNT DF A COUNT...... $ ~~~~'^ ~o <br />l <br />/ <br /> u <br />AMOUNT PAID ................ $~ <br /> BAU4NCE DUE ............... $ BY v <br /> <br />