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MINED LAND RECLAMATION DIVISION <br />1313 Sherman N~ 0 0 7 9 5 6 <br />Denver, Colorado 80203 <br />(303) 866-3567 DATE S - /D is~ tf <br />RECEIVED /~ 1 <br />FROM Y10^~~ ~ y~ ,~, „I ~~ $ <br />'~ 1 ~ . po,-~~1 <br />FOR <br />_ DOLLARS <br />^ CASH <br />j1~HEDK <br />^ M.O. <br />AMOUNT OF ACCSUNf..... .....$ <br />AMOUNT PAID ...... ............$ <br />BALANCE DUE . ... ... .........$ <br />BY <br />/IQII IG ~QU I <br /> <br /> MINED VD RECLAMATION DIVISION f 013233 <br />~~ ~ 3 Sherman, Room 215 <br /> Denver, Colorado 80203 -DATE (v - ~ ~ ~ s ~~ <br />(303) 866-3567 <br /> (~ <br />FRDM ED ~~~ .~ I_~4~ $ ~~. <br /> <br /> ~t ~ I M ~y !~ ;~ ^ CA$H <br />FDR y ~ ~ffif'.OSL /~/ - OI CMJ ! ~q 'E3-CHECK <br />^ M <br />D <br /> I <br />. <br />. <br /> AMOUNT OF ACCOU ...........$ Q~~ /`~u'~UI <br />AMOUNT PAID ...................$ ~y./ <br />-- <br /> BALANCE DUE ...................$ BY <br /> <br />