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DIVISION .,F MINERALS AND GEOLOGY N/_// //~26231 <br />DATE x'19 ~ ~ I <br />RECENED <br />h <br />v Vy <br />7 °i <br />7 <br />~ (V1 <br />~~J ~ <br />JI <br />w <br />F <br />Q <br />4 <br />AMOUNT OF U(CCOUNi...........8 <br />AMOUNT PAJO ........ .. ......5 <br />BALANCE DUE ................... <br />~ ^ CASH <br />n /_ ~O/_ / G~ 'Q'6LiECK <br />QII YG ~ I <br />BY ~ <br />i <br />1v.m <br />- O <br />r O <br />I EOO~ <br />~~~M <br />m <br />°a`o~ <br />~Eo°0 \ <br />!dUm <br />y d <br />Im C ~ <br />.~ ~ 8 <br />'MQ <br />~ I_ <br />W ~ ~ <br />UO ~ <br />¢ff <br />m <br />~ w Fn <br />~ W <br />a ~ <br />a ~ <br />Z U <br />a ~ <br />~ MINED LAND RECLAMA' ION DIVISION N ~ Q 11 ~ `~ 1 <br />1313 Sherman. Room 215 <br />Colorado 80103 <br />~ <br />DATE ~ Z ~'- 19~ <br />Denver, <br />I <br />~ (303) 866-3567 $ <br />III RECEIVED ` ~~ ~ ~ <br />FROM <br />~ C~ <br />Il <br /> <br />_~._. <br />. _... _.. _. ----no~Rs <br />i <br />II I ______ .. . <br />~ . <br />g~HECK <br />D <br />~7/~/c1~ ^M <br />.x/-77-3L - <br />I I . <br />. <br />.: <br />I i FOR ~'I-~ r <br />M OF ACCOUM........,..$ <br />II I <br />~Q~IQ <br />~ <br />U. <br />O <br />} AMOU <br />AMOUNT PAID ...................$ / <br />~Jn/ <br />~J <br />~(~~~~.11J"-~v <br />.-f~ <br />~ <br />Ili BALANCE DUE ...................5 <br />O <br />O f <br />~ ^ O <br />