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DIVISION OF MINERALS AND ..:C. <br />~ ~rt <br />RECENED <br />FRDM_ <br />FOR /Y7/!f /LC <br />AMOUM OF ACCOUNT.... ......$ <br />AMOUNT PAID ............. ... .$ <br />GY NO ~~02~ <br />_ ~ OATE <br />'?7 LE -~ ~Q~ouea~ <br />_/~~ ^ CASH <br />^ CHECK <br />^ M.O. <br />3 <br />~~ ~~U ~ <br />BALANCE OUE ................. .$ <br />