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<br /> DI\ )N OF MINERALS AND GC~OLOGY ~v <br />0 <br />2 3 7 2 3 <br /> _ <br />/. _ <br />- onrE S ~C3 is23 <br /> RECEIVED / _ . _ n ~ ~~ $ <br /> FADM Kla'OxW~. 1~MM+~~riN... <br /> <br /> I (~ ,vu <br />~ <br /> ~~~.~. ~I <br />nyL~ ~ at. ~~2 s~ CM~_ <br />[~ <br />j~ DOLLARS <br /> _ <br />, <br /> r/~ ~ CHECK <br />FOR Uw~...1~. YM~ ~ 3'OOI ~.3O~ZS ^ M.D. <br /> <br /> AMOUNT OF ACCOUNT...... ...$ 'n <br />V QII IL OU! <br /> AMOUNT PAID . ............... .$ <br /> BALANCE DUE ....... ...... ....$ BV ... <br /> <br />