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<br /> MINED I D RECLAMATION DIVISION r ~ 17752 <br /> I'sr3 Sherman, Rm. 215 ~~J- ^~ // <br />Denver, Colorado 80203 DATE ~ 19 ~/ <br /> (303 866-3561 <br /> $ <br />RECENEO <br /> <br />FRO <br />L <br />L <br />~S / ~~`~" <br /> / <br />_ <br />_ <br />/ I <br />~ ~ <br /> ~ <br />RS <br /> <br /> ~.,, ~J (~ ^ CA$H <br />gy~m~ <br />~'S~ <br />~ ~ <br />~ <br />l <br />~ <br />p <br />Hp K <br /> ,, <br />°°, <br />~Q /// <br />d <br />. <br />i <br />Z <br />M <br />FORn...~~cc~ f <br /> <br /> AMOUNT OF AC~NT... .......$ /'~ - <br />' <br />` <br />t <br />~ <br /> O~ <br />AMOUNT PAID ...... ......... $ <br />mo <br />J <br /> BALANCE OUE .. ........ .....$ BY <br /> <br />