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IIIIINIIIIIIIIIIII <br /> <br /> DI~~ N OF MINERALS AND GEOLOGY <br />2 <br />No 2401 <br /> t~ <br />L~ <br />~ <br />` <br />o ~~ <br /> _ DATE <br />19_L~ <br /> RECEIVED ~ $~ <br /> FROM G <br /> . L~ <br /> t ~ DOLLARS <br /> <br /> / r~ G ^ CASH <br />FOR ~IQ1V pD ~~ ~ / ~ ' ~~ ~ c~b0 (~ p ~}HpCK <br /> <br /> AMOUNT 0 ACCOUNT... ...... $ I^ <br />/l~ duI <br /> AMOUNT PAID ....... .. ... ... $ <br /> BALANCE OUE ...... ...... ... .$ BY ~ ~ <br /> <br />MINA LAND RECLAMAZ~ON DIVISION <br />1313 Sherman, .Rni. 115 <br />Denver, Colorado 80103 <br />(3031 8663561 <br />RECEIVED n __ ,1 _ ...{~, ~ ~ <br />^ CASH <br />'Q'61iECK <br />^ M.O. <br />AMOUNT OF ACCOUNT .. ...... $ <br />AMOUNT PAID ........ .. .. ... $ <br />BALANCE DUE .............. ....$ <br />BV <br />.~ N°_ 2^00469 <br />DATE ~ ~ ~ ( 1 g 2 <br />$ ~~5. <br /> <br />~• ~® <br />MINED LAND~.~ECLAMATIOIO DIVISION N°_ `'16317 <br />1313 Sherman, Rm. 215 Gil ~ <br />Denver, Colorado 80103 ~ ~ DATE ~ ' ~ 19_x_ <br />(303) 866-3567 /~- <br />RECEIVED~I, ~ ~ (1 ~ ~~ u' $ / ^-1D <br />FROM V ~Q~ AK- ! d <br />/~~~ ~ /J~ ~7 '] ~ ^ CASH <br />FOR W1VYl „`" / J'or~ ~~ pMp K <br />AMOUN7 OF ACC UNT....... ...$ '^~ ~U! <br />AMOUNT PAID ....... .. ... ....$ 1'1 <br />BALANCE DUE . .. ..............$ BV <br /> M!' 7 LAND RECLAMATION DIVISION <br /> ~/ 1313 Sherman, Room 115 ~,~ <br />Denver, Colorado 8003 ' f <br />A <br />~ - 119 <br />E ~ <br />n <br /> T <br />. <br />3567 D <br />(303) 866- <br /> / <br />~q <br />~ <br />V.J~I.~ ~ $ cwt'/. (,~L_/ <br />(-LMl_P~~A <br />R <br />F <br />O <br />MM~ <br />~ <br /> ~~/ `I <br />I <br />~ <br />( <br />~ <br />, <br />~ <br /> ~+UR TA.I ~ <br />lCi B2llARS <br /> ,/ // ^ CASH <br />/~~ ' 7 ~ "~~ a 9yLK <br />'/ <br /> >1 ) <br />FOR Pil <br /> <br /> AMOUNT OF A OUNT.. ........$ <br /> <br />~~ ~ul <br />AMOUNT PAID ...................$ <br /> BALANCE OUE ...................$ BV <br /> <br />