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<br /> MINED LAND RECLAMATION DIVISION N ~ OOH 6 4 H <br /> 1313 Sherman <br />Denver, Colorado 80203 _ DATE ~~~ d 19 ~~ <br />(~ ,(3~71~3) 8663567 ~ $ <br />RECEIVED 1~\ I)'J C <br />/~ <br /> ~ <br />1aLJ~ X XXXll ~ A / 1 \n <br />FROM <br /> , <br /> <br /> <br />/ " ' ~ ~ IC 'IDS o7.Xf ~%CHOECK <br />FOR Y~ <br /> <br /> AMOUNT OF ACC UNi... .......$ <br />~ <br />UI <br /> YI Il <br />~ <br />AMOUNT PAID ............ ......$ <br /> 6ALANCE DUE .......... ........$ BV <br /> <br />