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<br /> <br /> <br /> VED LAND RECLAMATION DIVISION Np 22168 <br />1313 Sherman, Rm. 215 <br /> Denver, Colorado 50203 PATE /1/0~ 19_s~ <br />(303) 866-3567 $ <br />RECEIVED <br />. ~ ,.{.. / <br />/~ <br />cb <br /> - <br />~ <br />v ~ Q <br />M C,l GYTA + ctwM <br />F <br />R <br />O <br /> - <br />- <br />~ <br />;T~st.., ~~..~no~.,s.(, IL.~nnQ~. a..~~,~ '~/.~J` ~ DouaRs <br /> <br /> Pl•CHECK <br />FOR /1 n... ~Q1L {'1/1 - ~ 7 ^ .~ C7S 3 069 ^ M.D. <br /> <br /> AMOUNT OF ACCOUNT .. .$ '^ 'r <br />~ <br />~~ <br /> I1 <br />DU <br />AMOUNT PAID. ... .. .. .. $ <br /> BALANCE DUE ........... .. $ BY <br /> <br />