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<br /> DIVI. ~ OF MINERALS AND GEOLOGY i/~'U '-~263~~j7~ <br />_ DATE ~ 19! ~ <br /> RECEIVED $ ^~ <br /> FROM o~J <br /> <br /> <br /> DOLLARS <br /> <br /> 1 /~ -7 ~,t- ^ CASH <br />K <br />H <br />~ <br />l <br /> O, <br />(O 70 ~ ^ M <br />FOR Q' IICJ ! ~ ' <br />/ ~ <br /> <br /> AMOUNT OF OUNT.. ........$ <br />I <br />h~ <br />~ <br /> 2 U <br />A <br />AMOUNT PAID .. ... ... ........$ <br /> BALANCE DUE ..... .............$ BV <br /> <br />