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<br /> MINED D RECLAMATION DIVISION ~ ~_ 23289 <br />1's73 Sherman, Rm. 215 -~ _ <br /> Denver, Colorado 80203 = ~3 <br />(303) 86 -356 DATE/~~}ts <br />FFIOM E ~ ~ $ 1/9D <br /> <br /> ~o'il.~td? o ~ 1Uin ~ °Y ~G~ not i nRs <br /> <br /> ~// ///J~/ q ^ CASH <br />FOR~/~n if ~Q f c / " ~` ~~ o~ '~c~/ T]~C~iECK <br />^ M <br />O <br /> . <br />. <br />~ <br /> AMOUNTT O <br />COUNT....... .. $ <br />I¢ ou <br />AMOUNT PAID ....... ...... .. .S <br /> BALANCE OUE . ... ............ ..$ BY <br /> <br />