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<br /> MINE' 4ND RECLAMATION DIVISION ~ ~ ~ 13 8 3 4 <br /> 1313 Sherman, Rm..215 Q~ <br />Denver, Colorado 80203 ., - ,_ DATE ~ ~ s~ <br />(303) 866-3567 $ <br />RECEIVED /~' q ~D <br /> . <br />~J <br />FROM v <br /> ~~-~r%'~~ <br />'L-~ ~ / RS <br /> <br /> ^ CASH <br />'@~CHECK <br />FDR i -~ '// X47 ^ M.D. <br /> <br /> AMOUNT OF AC NT.. ...... .$ <br />~~ <br />! <br /> ~~ <br />Q <br />AMOUNT PAID ... ...... ........$ <br /> BAIANCE DUE .... ... ...... ...$ BY <br /> <br />